DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Marble Insurance Agency, Inc.	DOIID	1243960	NAIC NPN	20406397

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/25/2022	3/31/2026
Inactive	Non Resident	Agent	Life	2/8/2023	7/1/2025
Inactive	Non Resident	Agent	Property	11/25/2022	3/31/2026
* 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	Employers Assurance Company	300120	Agent - Casualty	1/25/2024	12/26/2025
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	1/25/2024	12/26/2025
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	1/25/2024	12/26/2025
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	3/1/2023	3/31/2026
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	3/1/2023	3/31/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fulmer, Brett Steven	1057671	Agent - Life	2/8/2023	4/30/2025
Inactive	Gunn, Debra L	1028708	Agent - Casualty	11/25/2022	3/31/2026
Inactive	Gunn, Debra L	1028708	Agent - Property	11/25/2022	3/31/2026