DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marshall III, Robert Richard	DOIID	392508	NAIC NPN	829493

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/3/2000	1/20/2005
Inactive	Resident	Agent	Health	8/16/1996	1/20/2005
Inactive	Resident	Agent	Casualty	8/15/2000	3/11/2005
Inactive	Resident	Agent	General Lines	4/3/2000	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	8/8/1996	7/1/1998
Inactive	Resident	Agent	Property	8/15/2000	3/11/2005
* 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	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	1/11/2005
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	5/16/2000	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	1/11/2005
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	12/10/2004
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	4/3/2000	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	12/10/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/16/2004	3/11/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/16/2004	3/11/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/8/1996	7/1/1998
Inactive	Humana Insurance Company	300118	Agent - Health	8/16/1996	7/1/1998
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	12/10/2004
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	4/11/2000	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	12/10/2004
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/3/2000	12/10/2004
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/3/2000	12/10/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	4/24/2000	12/10/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	4/24/2000	12/10/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	4/24/2000	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	12/10/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	12/10/2004