DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Creditors Insurance Service, LLC	DOIID	1022885	NAIC NPN	15820216

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/11/2024		3/31/2026
Active	Non Resident	Agent	Property	6/11/2024		3/31/2026
Active	Non Resident	Agent	Health	6/11/2024		3/31/2026
Active	Non Resident	Agent	Casualty	6/11/2024		3/31/2026
* 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	01/15/2026	03/31/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Roby, Jerry B	308693	Agent - Casualty	6/11/2024
Active	Roby, Jerry B	308693	Agent - Health	6/11/2024
Active	Roby, Jerry B	308693	Agent - Life	6/11/2024
Active	Roby, Jerry B	308693	Agent - Property	6/11/2024