DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Robert Shively	DOIID	352414	NAIC NPN	7192498

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	3/18/1992		9/30/2026
Active	Resident	Agent	Property	8/15/2000		9/30/2026
Active	Resident	Agent	Life	3/18/1992		9/30/2026
Active	Resident	Agent	Casualty	8/15/2000		9/30/2026
Inactive	Resident	Agent	General Lines	3/14/1988	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	07/15/2024	09/30/2024	03/01/2024	03/01/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Active	American Fire and Casualty Company	300567	Agent - Casualty	2/13/2006
Active	American Fire and Casualty Company	300567	Agent - Property	2/13/2006
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/5/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/5/2019
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/12/2014	12/23/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/12/2014	12/23/2016
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	1/22/2007	12/6/2011
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/16/2007	11/1/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/16/2007	11/1/2012
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	3/10/2021
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	3/10/2021
Active	CSAA General Insurance Company	606675	Agent - Casualty	3/10/2021
Active	CSAA General Insurance Company	606675	Agent - Property	3/10/2021
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	6/9/2021
Inactive	Chase Life and Annuity Company	300145	Agent - Health	3/18/1992	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	3/18/1992	12/11/1996
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	9/10/2001
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/21/2004
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	9/10/2001
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	9/10/2001
Active	Cincinnati Insurance Company	301298	Agent - Casualty	9/10/2001
Active	Cincinnati Insurance Company	301298	Agent - Property	9/10/2001
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/27/1997
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/27/1997
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/3/2013	1/5/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/15/2017	8/10/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/15/2017	8/10/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/9/2006	2/22/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/9/2006	2/22/2008
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	2/10/1997	3/31/1997
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	2/10/1997	3/31/1997
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/23/2023
Active	Liberty Mutual Insurance Company	301159	Agent - Property	8/23/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	3/14/1988	8/15/2000
Active	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000
Active	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	10/1/1999	8/15/2000
Active	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	6/21/2007	3/16/2010
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Property	9/8/2007
Active	Platte River Insurance Company	301089	Agent - Casualty	6/9/2021
Active	Principal National Life Insurance Company	301926	Agent - Life	4/27/2012
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008
Inactive	Standard Insurance Company	300185	Agent - Health	3/22/2007	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	3/22/2007	12/5/2022
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	2/28/2005	10/3/2007
Active	West American Insurance Company	301112	Agent - Casualty	2/13/2006
Active	West American Insurance Company	301112	Agent - Property	2/13/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Health	8/1/2007	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/1/2007	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Carpenter-Warren Insurance Agency Inc.	400311	Agent - Life	10/3/2022
Active	Carpenter-Warren Insurance Agency Inc.	400311	Agent - Health	3/5/2004
Active	Carpenter-Warren Insurance Agency Inc.	400311	Agent - Property	7/8/2002
Active	Carpenter-Warren Insurance Agency Inc.	400311	Agent - Casualty	7/8/2002