DEPARTMENT OF INSURANCE

Name	Branham, Robert Allen	DOIID	377583	NAIC NPN	3102931

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/21/1975	4/1/2022
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2022
Inactive	Resident	Agent	Life	11/21/1975	4/1/2022
Inactive	Resident	Agent	General Lines	3/15/1984	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	4/1/2022
Inactive	Resident	Independent Adjuster	Property & Casualty	5/25/2006	4/1/2022
Inactive	Resident	Surplus Lines Broker	Not Applicable	12/11/2002	12/14/2007

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	5 Village Street Ste. 1Pikeville, KY 41501
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 424-6600