DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roach, Raymond	DOIID	969001	NAIC NPN	8336621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/25/2017	1/31/2022
Inactive	Non Resident	Agent	Casualty	9/25/2017	1/31/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/21/2017	1/31/2022
* 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	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	10/10/2017	1/31/2022
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Property	10/10/2017	1/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	10/4/2017	1/31/2022
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	10/10/2017	7/10/2020
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	10/10/2017	7/10/2020