DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Marc Brooke	DOIID	346533	NAIC NPN	7189887

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	7/27/1995		10/31/2025
Active	Resident	Agent	Life	7/27/1995		10/31/2025
Active	Resident	Agent	Property	8/15/2000		10/31/2025
Active	Resident	Agent	Casualty	8/15/2000		10/31/2025
Inactive	Resident	Agent	General Lines	7/27/1995	8/15/2000
* 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
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/1/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/1/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/10/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/10/2015	11/14/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/21/2004	3/7/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/21/2004	3/7/2005
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Health	11/26/2004	7/23/2010
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/26/2004	7/23/2010
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/6/2012
Active	Dairyland Insurance Company	301370	Agent - Property	1/6/2012
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	7/27/1995	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/8/2004	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/8/2004	12/20/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/21/2004	3/7/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/21/2004	3/7/2005
Inactive	Independence American Insurance Company	524747	Agent - Health	4/15/2020	12/21/2021
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	7/27/1995	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	11/26/2004	7/23/2010
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	11/26/2004	7/23/2010
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	7/27/1995
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	7/27/1995
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/4/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/4/2011	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/10/2001	1/9/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	12/5/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/5/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/7/1995	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/7/1995
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/7/1995
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007