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	Property	8/15/2000		3/31/2025
Active	Non Resident	Agent	Limited Line Credit	9/18/2002		3/31/2025
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2025
Active	Non Resident	Agent	Life	7/13/1993		3/31/2025
Active	Non Resident	Agent	Health	7/13/1993		3/31/2025
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

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