DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Derosa, Robert	DOIID	635764	NAIC NPN	4643678

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/13/2006	11/30/2015
Inactive	Non Resident	Agent	Property	7/13/2006	11/30/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/25/2010	11/30/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Surplus Lines Broker - Not Applicable	3/5/2010	11/30/2015