DEPARTMENT OF INSURANCE

Affiliations

Name	Bellamy, Roger Dale	DOIID	330329	NAIC NPN	7176842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	4/7/2010		10/31/2025
Active	Resident	Agent	Casualty	4/7/2010		10/31/2025
Active	Resident	Agent	Health	4/7/2010		10/31/2025
Active	Resident	Agent	Personal Lines	4/7/2010		10/31/2025
Active	Resident	Agent	Life	4/7/2010		10/31/2025
Inactive	Resident	Agent	General Lines	4/30/1979	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	9/6/2024
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/1/2009
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	4/15/1996	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/1/2009
Active	American General Life Insurance Company	301585	Agent - Health	11/19/2019
Active	American General Life Insurance Company	301585	Agent - Life	11/19/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/1/2009
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/23/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/1/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/29/2014	7/24/2015
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/1/2012	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/1/2012	4/15/2025
Active	Athene Annuity and Life Company	301893	Agent - Life	11/4/2022
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/29/2010	8/9/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	11/1/2009
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	11/1/2009
Inactive	Celtic Insurance Company	300877	Agent - Health	7/15/1994	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	7/15/1994	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/18/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/18/1996	3/31/1997
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/21/2023
Active	Dairyland Insurance Company	301370	Agent - Property	6/21/2023
Inactive	EMC National Life Company	300388	Agent - Life	6/13/2001	12/12/2002
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	8/15/2000	12/12/2002
Inactive	Employers Mutual Casualty Company	300202	Agent - General Lines	2/23/1998	8/15/2000
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	8/15/2000	12/12/2002
Inactive	Encova Life Insurance Company	301818	Agent - Health	2/22/1977	11/1/2009
Inactive	Encova Life Insurance Company	301818	Agent - Life	7/15/2014	1/1/2024
Active	Erie Family Life Insurance Company	301400	Agent - Health	11/10/2021
Active	Erie Family Life Insurance Company	301400	Agent - Life	11/10/2021
Active	Erie Insurance Company	300230	Agent - Casualty	11/10/2021
Active	Erie Insurance Company	300230	Agent - Property	11/10/2021
Active	Erie Insurance Company of New York	789916	Agent - Casualty	11/10/2021
Active	Erie Insurance Company of New York	789916	Agent - Property	11/10/2021
Active	Erie Insurance Exchange	300789	Agent - Casualty	11/10/2021
Active	Erie Insurance Exchange	300789	Agent - Property	11/10/2021
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	11/10/2021
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	11/10/2021
Inactive	Everly Life Insurance Company	561641	Agent - Life	3/11/2014	9/15/2014
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	8/9/2004	11/1/2009
Inactive	Farmers Insurance Exchange	300336	Agent - Property	8/9/2004	11/1/2009
Active	Flagship City Insurance Company	789965	Agent - Casualty	11/10/2021
Active	Flagship City Insurance Company	789965	Agent - Property	11/10/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/19/2004	11/1/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/19/2004	11/1/2009
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	4/21/2025
Active	GEICO Marine Insurance Company	590512	Agent - Property	4/21/2025
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/4/2017	3/22/2022
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	3/18/2011	5/22/2014
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	3/18/2011	5/22/2014
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/14/2013	5/31/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/14/2013	5/31/2019
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/15/2000	12/12/2002
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	3/13/1992	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/15/2000	12/12/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	10/25/1988	8/30/1999
Inactive	Independent Order of Foresters	300743	Agent - Life	5/2/2011	11/24/2017
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	4/26/1993	5/30/2000
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/4/1990	9/29/2000
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/14/2009	11/1/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/14/2009	11/1/2009
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	11/1/2009
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	6/5/1979	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	11/1/2009
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	11/8/2022	12/6/2023
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	11/8/2022	12/6/2023
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	6/4/1999	3/21/2001
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	6/4/1999	3/21/2001
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/6/2015	5/15/2019
Inactive	MICO Insurance Company	301664	Agent - Casualty	8/15/2000	11/1/2009
Inactive	MICO Insurance Company	301664	Agent - General Lines	8/16/1989	8/15/2000
Inactive	MICO Insurance Company	301664	Agent - Property	8/15/2000	11/1/2009
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	9/9/2014	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	9/9/2014	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Health	10/8/2022	12/21/2022
Inactive	Medico Insurance Company	301559	Agent - Life	10/8/2022	12/21/2022
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/15/2000	11/1/2009
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	4/30/1979	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/15/2000	11/1/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/12/1997	10/15/2007
Inactive	National Western Life Insurance Company	301515	Agent - Life	11/6/2010	3/17/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/9/2004	11/1/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/9/2004	11/1/2009
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	5/21/1997	4/3/2000
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/1/2024
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	5/23/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/23/1997	5/23/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/21/1987	5/20/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/21/1987	5/20/1999
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/25/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Property	10/25/2018
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	9/24/2009	11/1/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	9/24/2009	11/1/2009
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/27/1990	1/30/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/27/1990	1/30/2004
Inactive	Reserve National Insurance Company	301073	Agent - Health	2/5/2013	4/3/2015
Inactive	Reserve National Insurance Company	301073	Agent - Life	2/5/2013	4/3/2015
Inactive	Time Insurance Company	300683	Agent - Health	2/6/2003	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	2/6/2003	12/29/2008
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/17/2017
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/17/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/17/2017	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/17/2017	10/1/2020
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	11/1/2009
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	11/1/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	5/26/1994	11/12/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	5/26/1994	11/12/2003
Inactive	United American Insurance Company	300910	Agent - Health	7/20/1983	11/1/2009
Inactive	United American Insurance Company	300910	Agent - Life	7/20/1983	11/1/2009
Active	United Financial Casualty Company	301886	Agent - Casualty	10/25/2018
Active	United Financial Casualty Company	301886	Agent - Property	10/25/2018
Inactive	United Home Life Insurance Company	300421	Agent - Life	1/8/2013	11/18/2014
Inactive	United States Fire Insurance Company	582240	Agent - Health	7/30/2021	12/27/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/14/2021	4/22/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/14/2021	4/22/2025
Inactive	Vantis Life Insurance Company	572176	Agent - Life	1/1/2015	8/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bellamy's Insurance Agency	399809	Agent - General Lines	12/7/1987	8/15/2000
Inactive	Bellamy's Insurance Agency	399809	Agent - Property	8/15/2000	6/19/2003
Inactive	Bellamy's Insurance Agency	399809	Agent - Casualty	8/15/2000	6/19/2003
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - Property	8/15/2000	11/1/2009
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - Casualty	8/15/2000	11/1/2009
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Life	9/21/2005	11/1/2009
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Health	9/21/2005	11/1/2009
Active	Designated Agent Company Inc.	681257	Agent - Life	12/1/2012
Active	Designated Agent Company Inc.	681257	Agent - Health	12/1/2012
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	11/1/2009
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	11/1/2009
Active	Timothy Hood Enterprises	1011658	Agent - Life	1/22/2019
Active	Timothy Hood Enterprises	1011658	Agent - Health	1/31/2019
Active	Timothy Hood Enterprises	1011658	Agent - Property	1/22/2019
Active	Timothy Hood Enterprises	1011658	Agent - Casualty	1/22/2019
Inactive	Wilkins Ins Agency Inc	852764	Agent - Life	9/4/2018	3/31/2024
Inactive	Wilkins Ins Agency Inc	852764	Agent - Property	9/4/2018	3/31/2024
Inactive	Wilkins Ins Agency Inc	852764	Agent - Casualty	9/4/2018	3/31/2024