DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gavin C. Roberts Insurance Agency, Inc.	DOIID	680772	NAIC NPN	10791449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	5/15/2008		3/31/2026
Active	Resident	Agent	Life	5/15/2008		3/31/2026
Active	Resident	Agent	Property	5/15/2008		3/31/2026
Active	Resident	Agent	Health	5/15/2008		3/31/2026
* 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
Active	FB Insurance Company (The)	301763	Agent - Casualty	5/20/2008
Active	FB Insurance Company (The)	301763	Agent - Health	5/20/2008
Active	FB Insurance Company (The)	301763	Agent - Property	5/20/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/27/2008	11/6/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/27/2008	11/6/2013
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	5/20/2008
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	5/20/2008
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	5/20/2008
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	5/20/2008
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	5/20/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Roberts, Gavin Clayton	304441	Agent - Casualty	5/15/2008
Active	Roberts, Gavin Clayton	304441	Agent - Health	5/15/2008
Active	Roberts, Gavin Clayton	304441	Agent - Life	5/15/2008
Active	Roberts, Gavin Clayton	304441	Agent - Property	5/15/2008
Active	Roberts, Molly Newman	774006	Agent - Casualty	6/18/2024
Active	Roberts, Molly Newman	774006	Agent - Health	6/18/2024
Pending	Roberts, Molly Newman	774006	Agent - Life
Active	Roberts, Molly Newman	774006	Agent - Property	6/18/2024