DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fry, Robert	DOIID	502502	NAIC NPN	1039471

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/20/2021	6/30/2023
Inactive	Non Resident	Agent	Property	1/20/2021	6/30/2023
Inactive	Non Resident	Agent	Health	2/3/2000	8/31/2003
Inactive	Non Resident	Agent	Life	2/3/2000	8/31/2003
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/22/2021	6/30/2023
* 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	Combined Insurance Company of America	301472	Agent - Health	2/3/2000	8/26/2002
Inactive	Combined Insurance Company of America	301472	Agent - Life	2/3/2000	8/26/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Vantage Risk Insurance Services Corporation	1120454	Agent - Casualty	2/11/2021	6/30/2023
Inactive	Vantage Risk Insurance Services Corporation	1120454	Agent - Property	2/11/2021	6/30/2023
Inactive	Vantage Risk Insurance Services Corporation	1120454	Surplus Lines Broker - Not Applicable	2/17/2021	6/30/2023