DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roman, Gale A	DOIID	846131	NAIC NPN	398541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	7/23/2014		12/31/2026
Active	Non Resident	Agent	Casualty	7/23/2014		12/31/2026
Active	Non Resident	Agent	Property	7/23/2014		12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Harleysville Insurance Company	301462	Agent - Casualty	9/27/2018
Inactive	Harleysville Insurance Company	301462	Agent - Property	9/27/2018	8/25/2023
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	11/27/2019	7/19/2023
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Property	11/27/2019	7/19/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	9/27/2018
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	9/27/2018
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/12/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure LLC	696181	Agent - Property	9/17/2020
Active	Acrisure LLC	696181	Agent - Casualty	9/17/2020
Denied	Acrisure LLC	696181	Agent - Personal Lines
Active	Acrisure New England Partners Insurance Services LLC	1274699	Agent - Property	1/28/2025
Active	Acrisure New England Partners Insurance Services LLC	1274699	Agent - Casualty	1/28/2025
Inactive	ECR Innovators LLC	846427	Agent - Property	9/27/2018	3/31/2022
Inactive	ECR Innovators LLC	846427	Agent - Casualty	9/12/2018	3/31/2022
Denied	ECR Innovators LLC	846427	Agent - Personal Lines