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	Casualty	4/30/2007	7/1/2013
Inactive	Resident	Agent	Health	12/13/2002	7/1/2013
Inactive	Resident	Agent	Life	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.

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