DEPARTMENT OF INSURANCE

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.

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