DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Mary Lois	DOIID	329035	NAIC NPN	7175859

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/14/2017		5/31/2025
Active	Resident	Agent	Limited Line Credit	8/7/2000		5/31/2025
Active	Resident	Agent	Health	6/14/2017		5/31/2025
Inactive	Resident	Agent	Credit Life & Health	1/13/1995	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	3/7/1995	5/30/1996
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	2/8/1995	11/8/2006
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/8/1995	11/8/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	7/21/2006	3/1/2017
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/21/2006	3/1/2017
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	7/21/2006	3/1/2017
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	3/30/2004	6/8/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	7/23/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	1/13/1995	12/1/1998
Inactive	Protective Life Insurance Company	300638	Agent - Health	10/17/2002	12/13/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	10/17/2002	12/13/2010
Inactive	Security Life Insurance Company of America	300936	Agent - Health	2/6/1997	11/5/2001
Inactive	Security Life Insurance Company of America	300936	Agent - Life	2/6/1997	11/5/2001
Inactive	Vantis Life Insurance Company	572176	Agent - Life	10/25/2006	11/9/2009
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	3/7/1995	5/30/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Monticello Banking Company	400291	Agent - Credit Life & Health	7/25/1995	8/7/2000
Inactive	Monticello Banking Company	400291	Agent - Life	2/25/2004	3/1/2017
Inactive	Monticello Banking Company	400291	Agent - Health	2/25/2004	3/1/2017
Active	Monticello Banking Company	400291	Agent - Limited Line Credit	7/23/2012