DEPARTMENT OF INSURANCE

Affiliations

Name	Myers III, Robert Page	DOIID	393952	NAIC NPN	3218507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Property	4/30/2007	7/1/2013
Inactive	Resident	Agent	Life	12/13/2002	7/1/2013
Inactive	Resident	Agent	Casualty	4/30/2007	7/1/2013
Inactive	Resident	Agent	Health	12/13/2002	7/1/2013
Active	Resident	Independent Adjuster	Property & Casualty	6/27/2014		6/30/2025
* 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
Independent Adjuster	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	6/3/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	6/3/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	4/9/2006	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	4/9/2006	10/25/2012
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/31/2007	1/7/2009
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/31/2007	1/7/2009
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Health	12/29/2008	12/17/2010
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	12/29/2008	12/17/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/1/2006	6/18/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2006	6/18/2006
Inactive	Assurance Company of America	300432	Agent - Casualty	10/31/2007	1/7/2009
Inactive	Assurance Company of America	300432	Agent - Property	10/31/2007	1/7/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/25/2008	4/7/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/25/2008	4/7/2009
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	7/11/2005	6/18/2006
Inactive	CHA HMO, Inc.	300662	Agent - Health	9/12/2005	6/18/2006
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	5/19/2005	6/18/2006
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	5/19/2005	6/18/2006
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	5/19/2005	6/18/2006
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	5/19/2005	6/18/2006
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	5/19/2005	6/18/2006
Inactive	Cincinnati Insurance Company	301298	Agent - Property	5/19/2005	6/18/2006
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	6/4/2005	6/18/2006
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	6/4/2005	6/18/2006
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	6/3/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	6/3/2010
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/30/2002	11/3/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/1/2013
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	12/4/2002	10/25/2004
Inactive	FB Insurance Company (The)	301763	Agent - Health	12/13/2002	6/18/2006
Inactive	FB Insurance Company (The)	301763	Agent - Property	12/4/2002	10/25/2004
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/2/2007	3/10/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/23/2003	1/21/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/23/2003	1/21/2005
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/21/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/21/2005	11/10/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/9/2007	7/1/2013
Inactive	Humana Insurance Company	301104	Agent - Health	4/9/2007	7/1/2013
Inactive	Humana Insurance Company	301104	Agent - Life	4/9/2007	7/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/9/2007	7/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/9/2007	7/1/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/11/2009	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/11/2009	2/22/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	12/11/2006	12/22/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	6/3/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	6/3/2010
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/4/2002	10/25/2004
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/13/2002	6/18/2006
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/4/2002	10/25/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/27/2008	4/26/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/27/2008	4/26/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	12/29/2008	9/20/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	12/29/2008	9/20/2010
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/31/2007	1/7/2009
Inactive	Maryland Casualty Company	301719	Agent - Property	10/31/2007	1/7/2009
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	12/29/2008	12/17/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/29/2008	12/17/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	6/3/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	6/3/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/31/2007	1/7/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/31/2007	1/7/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	6/3/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	6/3/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	6/3/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	6/3/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	6/3/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	6/3/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	6/3/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	6/3/2010
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/13/2008	7/1/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/13/2008	7/1/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/2/2007	6/3/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/2/2007	6/3/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/18/2007	7/8/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	12/18/2007	7/8/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/13/2002	10/25/2004
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/13/2002	10/25/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/25/2008	4/7/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/25/2008	4/7/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/25/2008	4/7/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/25/2008	4/7/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	1/25/2008	4/7/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	1/25/2008	4/7/2009
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/25/2008	4/7/2009
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/25/2008	4/7/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/25/2008	4/7/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/25/2008	4/7/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/25/2008	4/7/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/25/2008	4/7/2009
Inactive	United American Insurance Company	300910	Agent - Health	1/25/2007	6/22/2007
Inactive	United American Insurance Company	300910	Agent - Life	1/25/2007	6/22/2007
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	6/3/2010
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	6/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/20/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/20/2006	6/23/2008
Inactive	Cincinnati Insurance Company	301298	Independent Adjuster - Property & Casualty	4/13/1995	1/14/1999
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/30/2002	10/25/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/30/2002	10/25/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	2/6/2003	10/25/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	2/6/2003	10/25/2004
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Independent Adjuster - Property & Casualty	12/29/2000	11/13/2002
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Casualty	5/23/2005	6/18/2006
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Property	5/23/2005	6/18/2006
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Health	7/1/2009	3/31/2010
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Life	6/4/2005	3/31/2010
Inactive	Kentucky Insurance Group, LLC	622924	Agent - Casualty	1/11/2006	6/18/2006
Inactive	Kentucky Insurance Group, LLC	622924	Agent - Property	1/11/2006	6/18/2006
Inactive	Kentucky Insurance Group, LLC	622924	Agent - Health	1/11/2006	3/5/2009
Inactive	Kentucky Insurance Group, LLC	622924	Agent - Life	1/11/2006	3/5/2009
Inactive	Myers Insurance Agency, Inc.	654881	Agent - Casualty	5/7/2007	3/31/2009
Inactive	Myers Insurance Agency, Inc.	654881	Agent - Property	5/7/2007	3/31/2009
Inactive	Myers Insurance Agency, Inc.	654881	Agent - Health	5/7/2007	3/31/2009
Inactive	Myers Insurance Agency, Inc.	654881	Agent - Life	5/7/2007	3/31/2009
Inactive	Nationwide Mutual Insurance Company	301749	Independent Adjuster - Property & Casualty	1/14/1999	10/18/1999
Inactive	Ohio Casualty Insurance Company	301492	Independent Adjuster - Property & Casualty	10/18/1999	5/17/2003