DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Marble Insurance Agency, Inc.	DOIID	1243960	NAIC NPN	20406397

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/25/2022		3/31/2026
Active	Non Resident	Agent	Property	11/25/2022		3/31/2026
Pending Replacement	Non Resident	Agent	Life	2/8/2023		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Employers Assurance Company	300120	Agent - Casualty	1/25/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	1/25/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	1/25/2024
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	3/1/2023
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	3/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fulmer, Brett Steven	1057671	Agent - Life	2/8/2023	4/30/2025
Active	Gunn, Debra L	1028708	Agent - Casualty	11/25/2022
Active	Gunn, Debra L	1028708	Agent - Property	11/25/2022