DEPARTMENT OF INSURANCE

Name	Martin, Robert Anthony	DOIID	386438	NAIC NPN	7207422

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/23/2015		7/31/2024
Active	Resident	Agent	Health	10/23/2015		7/31/2024
Inactive	Resident	Agent	Credit Life & Health	5/25/1989	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	7/31/2008
Active	Resident	Independent Adjuster	Property & Casualty	2/26/2021		7/31/2024

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024
Independent Adjuster	05/15/2024	07/31/2024

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
Residence	Not Public Information
Business / Home Office	364 Chardonnay Vly Walton, KY 41094

Phone Information

Type	Phone
Business / Home Office	(859) 512-0138