DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Republic Insurance Agency Inc	DOIID	513310	NAIC NPN	7223171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/17/2000	3/5/2004
Inactive	Resident	Agent	Life	8/17/2000	3/5/2004
* 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	Lafayette Life Insurance Company (The)	301039	Agent - Health	8/17/2000	7/1/2002
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	8/17/2000	7/1/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balfe, Catherine M	363600	Agent - Health	8/17/2000	7/1/2002
Inactive	Balfe, Catherine M	363600	Agent - Life	8/17/2000	7/1/2002