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	Casualty	8/15/2000		10/31/2025
Active	Resident	Agent	Life	7/27/1995		10/31/2025
Active	Resident	Agent	Property	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
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
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/5/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/5/2013	2/17/2025
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