black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROBERT D. ROTH

PRODUCER NON-RESIDENT

License Number:
PRN243862
Status:
First Licensure:
12/20/2014
Cancel Date:
None

Mailing:
NORTHBROOK, IL 60062
Phone:
+1 (630) 862-9686
Fax:
+1 (630) 572-7121
Email:
rob.roth@assuredpartners.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/20/2014

Agency

Name Issue Date License Number Expiration Date Cancel Date
ACCRETIVE GENERAL AGENCY, LLC
01/21/2023 AGN442174
ACCRETIVE SPECIALTY INSURANCE SOLUTIONS, LLC
12/09/2022 AGN439157
ASSUREDPARTNERS JAMISON LLC
06/28/2022 AGN32708
ASSUREDPARTNERS SPECIALTY INSURANCE BROKERS LLC
06/28/2022 AGN97119 10/06/2023
BRECKENRIDGE INS SERVICES LLC
01/09/2025 AGN195510
CHAMBER INSURANCE AGENCY SERVICES LLC
08/30/2022 AGN75156
ECC INSURANCE BROKERS LLC
12/20/2014 AGN120001 03/07/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
GREAT MIDWEST INSURANCE COMPANY
08/16/2016 PCF82030
IMPERIUM INSURANCE COMPANY
08/16/2016 PCF80207
NORTH RIVER INSURANCE COMPANY
08/17/2018 PCF698
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
05/01/2023 PCF974

Authority

Description Issue Date Termination Date Status
CASUALTY 12/20/2014 Active
HEALTH 02/12/2023 Active
LIFE 02/12/2023 Active
PROPERTY 12/20/2014 Active
SURPLUS LINES 12/20/2014 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2140876

Other Addresses

Address Type
100 PASSAIC AVE STE 145
FAIRFIELD, NJ 07004-3563
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/18/2025 08:29:48 AM