DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sciba, Robert Lee	DOIID	352824	NAIC NPN	259217

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/29/1986	6/28/2002
Inactive	Non Resident	Agent	Property	8/15/2000	6/28/2002
Inactive	Non Resident	Agent	Casualty	8/15/2000	6/28/2002
Inactive	Non Resident	Agent	General Lines	2/3/1986	8/15/2000
Inactive	Non Resident	Agent	Health	10/29/1986	6/28/2002
* 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	Assurity Life Insurance Company	301099	Agent - Health	10/29/1986	6/28/2002
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/29/1986	6/28/2002
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/13/2000	6/28/2002
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/13/2000	6/28/2002
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	2/28/2001	6/28/2002
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	2/28/2001	6/28/2002
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	6/28/2002
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	2/3/1986	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	6/28/2002
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	8/15/2000	6/28/2002
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - General Lines	7/14/2000	8/15/2000
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	8/15/2000	6/28/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Life	4/17/2001	6/24/2002
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Health	4/17/2001	6/24/2002
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	8/15/2000	6/24/2002
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	8/15/2000	6/24/2002