DEPARTMENT OF INSURANCE

Affiliations

Name	Roby Jr, Jerry B	DOIID	308693	NAIC NPN	1465594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2027
Active	Non Resident	Agent	Property	8/15/2000		3/31/2027
Active	Non Resident	Agent	Health	7/13/1993		3/31/2027
Active	Non Resident	Agent	Limited Line Credit	9/18/2002		3/31/2027
Active	Non Resident	Agent	Life	7/13/1993		3/31/2027
Inactive	Non Resident	Agent	General Lines	8/5/1992	8/15/2000
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/6/2006	2/16/2011
* 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 General Life Insurance Company	301585	Agent - Health	9/8/2015	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	9/8/2015	12/23/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	6/29/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	8/5/1992	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	6/29/2021
Inactive	American National Insurance Company	301861	Agent - Limited Line Credit	2/2/2010	9/20/2012
Inactive	American National Property and Casualty Company	300392	Agent - Limited Line Credit	1/20/2004	9/20/2012
Inactive	American Network Insurance Company	301156	Agent - Health	5/24/2000	2/25/2002
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	6/21/2016	2/20/2019
Inactive	Ansur America Insurance Company	520667	Agent - Property	6/21/2016	2/20/2019
Active	Arch Insurance Company	300688	Agent - Casualty	8/9/2007
Active	Arch Insurance Company	300688	Agent - Property	8/9/2007
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	10/8/2024
Inactive	CICA Life Insurance Company of America	600487	Agent - Life	1/1/2005	2/20/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/12/1997	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/12/1997	4/1/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	10/15/2001	10/31/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	10/15/2001	10/31/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Limited Line Credit	9/18/2002	10/31/2003
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/1/2006	2/15/2010
Inactive	FFVA Mutual Insurance Company	552456	Agent - Casualty	1/1/2017	12/14/2020
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	4/6/2000	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/6/2000	10/28/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/31/1995	5/25/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/31/1995	5/25/2016
Inactive	First Alliance Insurance Company	301000	Agent - Life	5/31/2001	1/1/2005
Inactive	First Colonial Insurance Company	300752	Agent - Casualty	10/24/2001	10/31/2003
Inactive	First Colonial Insurance Company	300752	Agent - Limited Line Credit	10/10/2002	10/31/2003
Inactive	First Colonial Insurance Company	300752	Agent - Property	10/24/2001	10/31/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Health	11/1/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/1/2006	1/1/2007
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/27/2010	1/23/2012
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	6/21/2016	2/20/2019
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	6/21/2016	2/20/2019
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/22/2007	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/22/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	10/4/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	12/29/2004	3/7/2005
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	12/23/2003	6/8/2006
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	1/1/2005
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	1/1/2005
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	3/8/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/10/2015	12/26/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/10/2015	12/26/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/29/2001	5/6/2002
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	10/29/2001	5/6/2002
Active	Lyndon Southern Insurance Company	609602	Agent - Casualty	3/9/2007
Active	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	3/9/2007
Active	Lyndon Southern Insurance Company	609602	Agent - Property	3/9/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/17/2012	11/14/2014
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	5/8/2014	2/5/2016
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	5/8/2014	2/5/2016
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	5/18/1998	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	5/18/1998	3/31/2001
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	7/13/1993	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	7/13/1993	3/31/1999
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	1/20/1998	2/22/1999
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/13/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/13/2010
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Health	3/18/2002	7/26/2005
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Life	3/18/2002	7/26/2005
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/1/2006	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/1/2006	12/23/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	4/2/2004
Inactive	Security Life Insurance Company of America	300936	Agent - Health	1/29/1997	11/6/2001
Inactive	Security Life Insurance Company of America	300936	Agent - Life	1/29/1997	11/6/2001
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/2/2000	10/1/2003
Active	Southern Financial Life Insurance Company	300664	Agent - Health	3/9/2007
Active	Southern Financial Life Insurance Company	300664	Agent - Life	3/9/2007
Active	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	3/9/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/11/2003	6/15/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/11/2003	6/15/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/15/2006	11/23/2009
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	11/12/2003	6/8/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Life	9/22/2011
Active	Assuredpartners NL, LLC	762387	Agent - Health	9/22/2011
Active	Assuredpartners NL, LLC	762387	Agent - Property	9/22/2011
Active	Assuredpartners NL, LLC	762387	Agent - Casualty	9/22/2011
Active	Assuredpartners NL, LLC	762387	Agent - Limited Line Credit	3/7/2012
Active	Creditors Insurance Service, LLC	1022885	Agent - Life	6/11/2024
Active	Creditors Insurance Service, LLC	1022885	Agent - Health	6/11/2024
Active	Creditors Insurance Service, LLC	1022885	Agent - Property	6/11/2024
Active	Creditors Insurance Service, LLC	1022885	Agent - Casualty	6/11/2024
Inactive	Morris-Roby, Inc.	520274	Agent - Life	2/8/2001	3/31/2009
Inactive	Morris-Roby, Inc.	520274	Agent - Health	2/8/2001	3/31/2009
Inactive	Morris-Roby, Inc.	520274	Agent - Property	8/15/2000	3/31/2009
Inactive	Morris-Roby, Inc.	520274	Agent - Casualty	8/15/2000	3/31/2009
Inactive	Multigard Ins Services Inc	515470	Agent - Life	3/18/2008	12/5/2012
Inactive	Multigard Ins Services Inc	515470	Agent - Health	3/18/2008	12/5/2012
Inactive	Multigard Ins Services Inc	515470	Agent - Property	3/18/2008	12/5/2012
Inactive	Multigard Ins Services Inc	515470	Agent - Casualty	3/18/2008	12/5/2012
Inactive	Roby-Morris, Inc.	543898	Agent - Life	2/13/2002	3/31/2010
Inactive	Roby-Morris, Inc.	543898	Agent - Health	2/13/2002	3/31/2010
Inactive	Roby-Morris, Inc.	543898	Agent - Limited Line Credit	1/27/2004	3/31/2010