DEPARTMENT OF INSURANCE

Affiliations

Name	Kephart, Roger Duane	DOIID	335789	NAIC NPN	2785112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	9/1/2015
Inactive	Resident	Agent	General Lines	2/21/1978	8/15/2000
Inactive	Resident	Agent	Life	11/14/1991	9/1/2015
Inactive	Resident	Agent	Health	11/14/1991	9/1/2015
Inactive	Resident	Agent	Property	8/15/2000	9/1/2015
* 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	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	4/18/1995	12/13/1999
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	5/3/2002	9/1/2015
Inactive	Allstate Indemnity Company	300778	Agent - Property	5/3/2002	9/1/2015
Inactive	Allstate Insurance Company	300773	Agent - Casualty	5/3/2002	9/1/2015
Inactive	Allstate Insurance Company	300773	Agent - Property	5/3/2002	9/1/2015
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	9/1/2015
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	9/1/2015
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/18/2014	9/1/2015
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/18/2014	9/1/2015
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/20/1997	3/31/1998
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	7/16/2014
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	7/16/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	7/15/2002	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	7/15/2002	10/25/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/10/2002	8/2/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/10/2002	8/2/2006
Inactive	Assurance Company of America	300432	Agent - General Lines	10/27/1994	3/31/1996
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	5/8/1987	3/31/1998
Inactive	C.M. Life Insurance Company	301335	Agent - Health	8/5/1997	8/3/1999
Inactive	C.M. Life Insurance Company	301335	Agent - Life	8/5/1997	8/3/1999
Inactive	CastlePoint National Insurance Company	300082	Agent - Casualty	8/15/2000	11/30/2004
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	3/26/1993	8/15/2000
Inactive	CastlePoint National Insurance Company	300082	Agent - Property	8/15/2000	11/30/2004
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	9/3/2002	9/1/2015
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	9/3/2002	9/1/2015
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	7/16/2014
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	2/26/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	7/16/2014
Inactive	Continental Casualty Company	301019	Agent - General Lines	2/6/1997	3/31/1998
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/21/1978	3/31/1998
Inactive	Countryway Insurance Company	300809	Agent - Casualty	9/1/2005	1/26/2015
Inactive	Countryway Insurance Company	300809	Agent - Property	9/1/2005	1/26/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/27/2003	6/4/2015
Inactive	Everlake Life Insurance Company	300873	Agent - Health	5/3/2002	9/1/2015
Inactive	Everlake Life Insurance Company	300873	Agent - Life	5/3/2002	9/1/2015
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	5/26/1994	3/31/1997
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/26/1994	3/31/1997
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	7/17/1987	3/31/1998
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	9/3/2002	9/1/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	9/3/2002	9/1/2015
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/6/1997	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	7/16/2014
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	7/16/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/11/2003	11/22/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/11/2003	11/22/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	7/16/2014
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	7/16/2014
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	10/27/1994	3/31/1996
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	7/16/2014
Inactive	Indiana Insurance Company	301909	Agent - General Lines	2/26/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	7/16/2014
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	2/19/2004
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	3/8/1990	8/15/2000
Inactive	Inter-State Assurance Company	301556	Agent - Life	1/3/2001	2/15/2002
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	5/26/1981	3/31/1998
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	5/12/2010	9/1/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	5/12/2010	9/1/2015
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	9/28/2000	12/30/2013
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	9/28/2000	12/30/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	9/1/2015
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	4/16/1999	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	9/1/2015
Inactive	Life Insurance Company of North America	300711	Agent - Health	8/12/1993	6/16/1997
Inactive	Life Insurance Company of North America	300711	Agent - Life	8/12/1993	6/16/1997
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	3/9/1999	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/9/1999	7/14/2014
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/27/1994	3/31/1996
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	8/5/1997	8/3/1999
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/5/1997	8/3/1999
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	2/14/2014	6/30/2014
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	2/14/2014	6/30/2014
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	8/13/1993	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	8/15/2000	3/10/2004
Inactive	Meridian Security Insurance Company	300423	Agent - General Lines	8/10/1995	8/15/2000
Inactive	Meridian Security Insurance Company	300423	Agent - Property	8/15/2000	3/10/2004
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/17/1998	3/8/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/20/1997	3/31/1998
Inactive	National Insurance Association	301386	Agent - General Lines	8/11/1992	4/8/1998
Inactive	National Summit Insurance Company	300348	Agent - General Lines	6/9/1997	12/23/1997
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/9/2012	9/1/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	7/16/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	2/26/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	7/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	10/27/1994	3/31/1996
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/24/2007	7/16/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/24/2007	7/16/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011	7/16/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011	7/16/2014
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	6/10/1998	3/31/2003
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	7/16/2014
Inactive	Peerless Insurance Company	301910	Agent - General Lines	5/20/1987	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	7/16/2014
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	5/8/1987	3/31/1998
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/4/2014	9/1/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/4/2014	9/1/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Health	7/8/2010	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/8/2010	12/23/2014
Inactive	Redland Insurance Company	300687	Agent - Casualty	8/15/2000	12/13/2002
Inactive	Redland Insurance Company	300687	Agent - General Lines	8/30/1989	8/15/2000
Inactive	Redland Insurance Company	300687	Agent - Property	8/15/2000	12/13/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	7/16/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	7/16/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	7/16/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	7/16/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/30/2014	9/1/2015
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/30/2014	9/1/2015
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/20/1997	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/20/1997	3/31/1998
Inactive	United Financial Casualty Company	301886	Agent - Casualty	1/4/2014	9/1/2015
Inactive	United Financial Casualty Company	301886	Agent - Property	1/4/2014	9/1/2015
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/20/1997	3/31/1998
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	7/16/2014
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	7/16/2014
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/9/2002	3/20/2009
Inactive	Western Surety Company	300283	Agent - Casualty	1/29/2014	3/4/2015
Inactive	Western Surety Company	300283	Agent - General Lines	6/8/1993	11/17/1997
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	2/19/2004
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	9/27/1993	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	Fall & Fall Ins Agency	400594	Agent - General Lines	6/20/1997	10/8/1997
Inactive	Fall & Fall Ins Agency	400594	Agent - Life	11/14/1991	6/20/1997
Inactive	Fall & Fall Ins Agency	400594	Agent - Health	11/14/1991	6/20/1997
Inactive	Fall & Fall Insurance, Inc.	400854	Agent - General Lines	10/13/1997	8/15/2000
Inactive	Fall & Fall Insurance, Inc.	400854	Agent - Life	9/1/1998	3/31/2014
Inactive	Fall & Fall Insurance, Inc.	400854	Agent - Health	9/1/1998	3/31/2014
Inactive	Fall & Fall Insurance, Inc.	400854	Agent - Property	8/15/2000	3/31/2014
Inactive	Fall & Fall Insurance, Inc.	400854	Agent - Casualty	8/15/2000	3/31/2014