DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Courtney L	DOIID	367361	NAIC NPN	7199074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/15/1998		9/30/2024
Active	Resident	Agent	Property	8/15/2000		9/30/2024
Active	Resident	Agent	Life	4/15/1998		9/30/2024
Active	Resident	Agent	Casualty	8/15/2000		9/30/2024
Inactive	Resident	Agent	General Lines	4/15/1998	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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Agricultural Insurance Company	300215	Agent - Property	11/24/2020
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/2/2008	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	8/6/1998	12/29/1999
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/2/2008	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023	5/22/2024
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	8/6/1998	1/14/1999
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023	5/22/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/20/2018	5/22/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/20/2018	5/22/2024
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/3/2008	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/3/2008	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/3/2008	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/3/2008	11/14/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/30/2003	7/29/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/30/2003	7/29/2003
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	2/2/2012	12/26/2012
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	2/2/2012	12/26/2012
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	3/12/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	3/12/2021
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/28/2004
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	6/19/1998	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	2/3/2003
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	3/31/2024
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	4/15/1998	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	3/31/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/16/2004	3/12/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/16/2004	3/12/2021
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/10/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/10/2005	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
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	3/31/2024
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	4/15/1998	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	3/31/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/31/2017	7/23/2018
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/15/1998	3/31/2024
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/15/1998	3/31/2024
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
Active	Courtney L Roberts Insurance Inc	551448	Agent - Life	6/5/2002
Active	Courtney L Roberts Insurance Inc	551448	Agent - Health	6/5/2002
Active	Courtney L Roberts Insurance Inc	551448	Agent - Property	6/5/2002
Active	Courtney L Roberts Insurance Inc	551448	Agent - Casualty	6/5/2002
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	3/31/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	3/31/2024
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	4/27/1998	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	4/27/1998	4/5/2024
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	4/27/1998	4/5/2024
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	4/5/2024
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	4/5/2024
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	3/7/2008	3/31/2024
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	3/7/2008	3/31/2024