DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Kirby Clarence	DOIID	359316	NAIC NPN	1727606

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/28/1989	6/15/2004
Inactive	Resident	Agent	Health	6/12/1989	6/15/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/19/2001	5/6/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/19/2001	5/6/2004
Inactive	Celtic Insurance Company	300877	Agent - Health	12/3/1993	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	12/3/1993	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	3/5/1991	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	3/5/1991	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	8/3/1994	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	8/3/1994	3/9/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/26/1990	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/26/1990	8/2/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/14/1989	4/13/2000
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/14/1989	4/13/2000
Inactive	Midland National Life Insurance Company	300923	Agent - Life	3/28/1989	12/21/1998
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/25/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/25/1996	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Southern Brokers Inc.	399821	Agent - Life
Denied	Southern Brokers Inc.	399821	Agent - Health