Individual Information

DALE L ROBERTS

HARRISVILLE, UT 84404-2675

Active

droberts4@farmersagent.com

01/23/2024

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3976341	01/23/2024	Active	01/23/2024	01/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/23/2024	Active	01/23/2024
Health	01/23/2024	Active	01/23/2024
Life	01/23/2024	Active	01/23/2024
Personal Lines	01/23/2024	Active	01/23/2024
Property	01/23/2024	Active	01/23/2024
Var. Annuities/Var. Life	01/23/2024	Active	01/23/2024

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	07/08/2024
230
Company Name	Appointment Type	Status	Active Date
FARMERS INSURANCE EXCHANGE	Casualty	Active	07/08/2024
	Property	Active	07/08/2024
231
Company Name	Appointment Type	Status	Active Date
FARMERS NEW WORLD LIFE INSURANCE COMPANY	Health	Active	07/08/2024
	Life	Active	07/08/2024
247
Company Name	Appointment Type	Status	Active Date
FIRE INSURANCE EXCHANGE FIRE UNDERWRITERS ASSOCIATION	Casualty	Active	07/08/2024
	Property	Active	07/08/2024
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	07/08/2024
	Property	Active	07/08/2024
405
Company Name	Appointment Type	Status	Active Date
MID-CENTURY INSURANCE COMPANY	Casualty	Active	07/08/2024
	Property	Active	07/08/2024
656
Company Name	Appointment Type	Status	Active Date
TRUCK INSURANCE EXCHANGE	Casualty	Active	07/08/2024
	Property	Active	07/08/2024

row(s) 1 - 13 of 13

Organization	Association Type	Type	Beg dte	End dte
DALE ROBERTS INSURANCE AGENCY INC.	Designated Resp Lic Prdcr	Agency	06/20/2024	-

1 - 1