DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Robert M. Smith Insurance Inc.	DOIID	680560	NAIC NPN	10791447

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/14/2008	3/31/2012
Inactive	Resident	Agent	Casualty	5/14/2008	3/31/2012
Inactive	Resident	Agent	Property	5/14/2008	3/31/2012
Inactive	Resident	Agent	Life	5/14/2008	3/31/2012
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/1/2008	3/31/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/1/2008	3/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/1/2008	3/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/1/2008	3/31/2012
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/5/2008	3/19/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/5/2008	3/19/2012
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	5/14/2008	4/11/2012
Inactive	FB Insurance Company (The)	301763	Agent - Health	5/14/2008	4/11/2012
Inactive	FB Insurance Company (The)	301763	Agent - Property	5/14/2008	4/11/2012
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	5/14/2008	4/11/2012
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	5/14/2008	4/11/2012
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	5/14/2008	4/11/2012
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	5/14/2008	4/11/2012
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	5/14/2008	4/11/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smith, Robert Mark	633612	Agent - Casualty	5/14/2008	3/31/2012
Inactive	Smith, Robert Mark	633612	Agent - Health	5/14/2008	3/31/2012
Inactive	Smith, Robert Mark	633612	Agent - Life	5/14/2008	3/31/2012
Inactive	Smith, Robert Mark	633612	Agent - Property	5/14/2008	3/31/2012