DEPARTMENT OF INSURANCE
Affiliations
NameRoseberry III, Henry KennethDOIID1115199NAIC NPN19754254
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentProperty1/26/20216/1/2022 
InactiveResidentAgentCasualty1/28/20216/1/2022 
InactiveResidentAgentHealth1/21/20216/1/2022 
InactiveResidentAgentLife1/22/20216/1/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty2/11/20216/1/2022
InactiveBristol West Insurance Company301655Agent - Property2/11/20216/1/2022
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty2/11/20216/1/2022
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property2/11/20216/1/2022
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty2/8/202110/20/2021
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Health2/8/202110/20/2021
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property2/8/202110/20/2021
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Health2/8/202110/20/2021
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Life2/8/202110/20/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Casualty2/8/202110/20/2021
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Life2/8/202110/20/2021
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Health2/8/202110/20/2021
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Property2/8/202110/20/2021

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