DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tabarez, Roman	DOIID	940374	NAIC NPN	18242840

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/21/2016	2/28/2022
Inactive	Non Resident	Agent	Property	12/21/2016	2/28/2022
* 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
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	12/19/2017	9/18/2020
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/2/2021	10/25/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/2/2021	10/25/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	General Automobile Ins Services Inc	706632	Agent - Casualty
Inactive	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	3/24/2020	9/18/2020