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.

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
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	10/8/2024
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
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	5/8/2025
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	10/1/2024
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