DEPARTMENT OF INSURANCE

Affiliations

Name	Caulk, Robert D	DOIID	322980	NAIC NPN	7169208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	7/1/2019
Inactive	Resident	Agent	Life	2/23/1987	7/1/2019
Inactive	Resident	Agent	Assessment Chapter 299	4/14/1998	12/1/2000
Inactive	Resident	Agent	Health	2/23/1987	7/1/2019
Inactive	Resident	Agent	General Lines	6/21/1985	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/4/2009	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/4/2009	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/4/2009	4/24/2017
Inactive	All American Life Insurance Company	300702	Agent - Health	5/16/2000	5/24/2002
Inactive	All American Life Insurance Company	300702	Agent - Life	5/16/2000	5/24/2002
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/15/2000	8/21/2003
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	4/20/1999	8/15/2000
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/15/2000	8/21/2003
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	8/31/1992	8/19/1996
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/24/2017	7/1/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/24/2017	7/1/2019
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/29/2006	12/12/2007
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/29/2006	12/12/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/27/1993	7/1/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/27/1993	7/1/2019
Inactive	Assurity Life Insurance Company	301099	Agent - Health	10/19/2011	12/8/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/19/2011	12/8/2014
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	8/21/2008	7/15/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	8/21/2008	7/15/2019
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	5/26/1993	5/3/1999
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	5/26/1993	5/3/1999
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/7/2003	7/1/2019
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014	7/1/2019
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	1/26/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	6/14/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	6/14/2017
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	6/26/2014	7/1/2019
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	6/26/2014	7/1/2019
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	6/26/2014	7/1/2019
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	6/26/2014	7/1/2019
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	6/26/2014	7/1/2019
Inactive	Cincinnati Insurance Company	301298	Agent - Property	6/26/2014	7/1/2019
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	3/26/2001	10/21/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/12/2009	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	2/12/2009	12/13/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	2/12/2009	12/13/2011
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/30/2008	1/31/2013
Inactive	Companion Life Insurance Company	300191	Agent - Life	7/30/2008	1/31/2013
Inactive	Continental Casualty Company	301019	Agent - Health	6/22/2001	11/29/2004
Inactive	Countryway Insurance Company	300809	Agent - General Lines	11/15/1985	3/31/1996
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/5/2009	7/23/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	5/29/2015
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	7/3/2000	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	5/29/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/14/2017
Inactive	EMC National Life Company	300388	Agent - Life	5/11/1998	12/19/2003
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	9/4/2001	12/19/2003
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	9/4/2001	12/19/2003
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	12/9/2005	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	12/9/2005	8/20/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	2/23/1987	12/20/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/23/1987	12/20/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/27/2009	7/1/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/27/2009	7/1/2019
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/25/1996	7/19/2004
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/5/2009	4/24/2017
Inactive	First Mutual Insurance Company	301258	Agent - Assessment Chapter 299	4/14/1998	12/1/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/26/2004	6/14/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/26/2004	6/14/2017
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/12/2008	6/16/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/12/2008	6/16/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/7/2016	10/21/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/7/2016	10/21/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/15/2000	12/19/2003
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	10/21/1988	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/15/2000	12/19/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/16/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/16/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/16/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/16/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/16/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	3/13/2006
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/23/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/17/2008	7/14/2017
Inactive	Humana Insurance Company	301104	Agent - Health	11/2/2006	7/14/2017
Inactive	Humana Insurance Company	301104	Agent - Life	11/2/2006	7/14/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/2/2006	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/2/2006	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/17/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/17/2012	12/19/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/5/1998	2/10/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/5/1998	2/10/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	10/18/1993	8/15/2000
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	9/28/1990	12/3/2001
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	9/28/1990	12/3/2001
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	2/7/2003	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	2/7/2003	4/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/6/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/6/2013	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/19/2013	10/29/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/20/2010	10/17/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/20/2010	10/17/2016
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	8/30/2000	2/26/2004
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	8/30/2000	2/26/2004
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/15/2008	4/29/2014
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/15/2008	4/29/2014
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	6/5/1989	7/1/2019
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	6/5/1989	7/1/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/25/2009	9/29/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	9/29/2016
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/18/2014	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/18/2014	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/5/1995	3/31/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/5/1995	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	5/24/1999	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	5/24/1999	3/31/2001
Inactive	Mutual Service Life Insurance Company	300225	Agent - Health	9/2/1987	12/14/1998
Inactive	Mutual Service Life Insurance Company	300225	Agent - Life	9/2/1987	12/14/1998
Inactive	Omni Insurance Company	301545	Agent - General Lines	3/30/1990	3/31/1998
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/12/2009	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	3/12/2009	8/8/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/9/2009	7/1/2019
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/9/2009	7/1/2019
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/13/2000	5/2/2006
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/13/2000	5/2/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/18/2009	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/18/2009	12/23/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	6/14/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	6/14/2005
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	3/27/2000	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/27/2000	10/1/2003
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/30/2014	11/28/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/11/1998	7/1/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/11/1998	7/1/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	5/5/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	9/28/1990	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	5/5/2003
Inactive	Time Insurance Company	300683	Agent - Health	2/10/2003	12/19/2006
Inactive	Time Insurance Company	300683	Agent - Life	2/10/2003	12/19/2006
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/20/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/16/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/13/2006
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/30/1999	4/1/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/30/1999	4/1/2003
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	6/21/1985	3/31/1998
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/12/2009	3/14/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/12/2009	3/20/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/7/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/7/2016	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/7/2016	2/14/2017
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	7/8/2008	1/29/2013
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	7/8/2008	1/29/2013
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	9/23/2013
Inactive	Western Surety Company	300283	Agent - General Lines	5/1/1995	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	A. Roberts & Associates Inc.	400448	Agent - Life	3/17/1993	7/1/2019
Inactive	A. Roberts & Associates Inc.	400448	Agent - Health	3/17/1993	7/1/2019
Inactive	Caulk & Eastridge Insurance Center	400407	Agent - Life	9/3/1987	7/1/2019
Inactive	Caulk & Eastridge Insurance Center	400407	Agent - Health	9/3/1987	7/1/2019
Inactive	Caulk & Eastridge Insurance Center	400407	Agent - General Lines	9/3/1987	8/15/2000
Inactive	Caulk & Eastridge Insurance Center	400407	Agent - Property	8/15/2000	7/1/2019
Inactive	Caulk & Eastridge Insurance Center	400407	Agent - Casualty	8/15/2000	7/1/2019
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	6/19/2002	7/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	7/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	7/1/2019
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Jessie Insurance LLC	821882	Agent - Life	5/20/2014	7/1/2019
Inactive	Jessie Insurance LLC	821882	Agent - Health	5/20/2014	7/1/2019
Inactive	Jessie Insurance LLC	821882	Agent - Property	5/20/2014	7/1/2019
Inactive	Jessie Insurance LLC	821882	Agent - Casualty	5/20/2014	7/1/2019