DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gavin C. Roberts Insurance, LLC	DOIID	624432	NAIC NPN	8696261

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	1/20/2006	6/2/2008
Inactive	Resident	Agent	Casualty	1/20/2006	6/2/2008
Inactive	Resident	Agent	Life	1/20/2006	6/2/2008
Inactive	Resident	Agent	Health	1/20/2006	6/2/2008
* 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	FB Insurance Company (The)	301763	Agent - Casualty	1/20/2006	6/2/2008
Inactive	FB Insurance Company (The)	301763	Agent - Health	1/20/2006	6/2/2008
Inactive	FB Insurance Company (The)	301763	Agent - Property	1/20/2006	6/2/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/20/2006	6/2/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	1/20/2006	6/2/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/20/2006	6/2/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	1/20/2006	6/2/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	1/20/2006	6/2/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roberts, Gavin Clayton	304441	Agent - Casualty	1/20/2006	6/2/2008
Inactive	Roberts, Gavin Clayton	304441	Agent - Health	1/20/2006	6/2/2008
Inactive	Roberts, Gavin Clayton	304441	Agent - Life	1/20/2006	6/2/2008
Inactive	Roberts, Gavin Clayton	304441	Agent - Property	1/20/2006	6/2/2008