DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, Tammy Lou	DOIID	767721	NAIC NPN	3308015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/21/2016	2/28/2027
Active	Non Resident	Agent	Casualty	7/7/2016	2/28/2027
Active	Non Resident	Agent	Life	7/21/2016	2/28/2027
Active	Non Resident	Agent	Property	7/7/2016	2/28/2027
* 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	American National Insurance Company	301861	Agent - Health	8/16/2016	2/21/2019
Inactive	American National Insurance Company	301861	Agent - Life	8/16/2016	2/21/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/12/2016	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/12/2016	12/7/2017
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	8/30/2016	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/30/2016	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	8/30/2016	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	8/30/2016	12/13/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/12/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/12/2016
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/5/2020
Active	Grange Indemnity Insurance Company	300793	Agent - Property	2/5/2020
Active	Grange Insurance Company	300234	Agent - Casualty	2/5/2020
Active	Grange Insurance Company	300234	Agent - Property	2/5/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/5/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/5/2020
Active	Ohio Security Insurance Company	300622	Agent - Casualty	1/26/2022
Active	Ohio Security Insurance Company	300622	Agent - Property	1/26/2022
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	6/12/2024
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	6/12/2024
Active	Selective Insurance Company of America	500018	Agent - Casualty	8/2/2019
Active	Selective Insurance Company of America	500018	Agent - Property	8/2/2019
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	8/2/2019
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	8/2/2019
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/2/2019
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	8/2/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	2/5/2020
Active	Trustgard Insurance Company	300104	Agent - Property	2/5/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/11/2016
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/11/2016
Active	Westfield Insurance Company	301950	Agent - Casualty	10/11/2016
Active	Westfield Insurance Company	301950	Agent - Property	10/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Huntington Insurance Inc	515749	Agent - Casualty	8/9/2016
Active	Huntington Insurance Inc	515749	Agent - Health	8/11/2016
Active	Huntington Insurance Inc	515749	Agent - Life	8/11/2016
Active	Huntington Insurance Inc	515749	Agent - Property	8/9/2016