DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roethemeier, Fred Scott	DOIID	323661	NAIC NPN	7169506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	12/15/2004	9/16/2005
Inactive	Resident	Agent	Casualty	12/15/2004	9/16/2005
Inactive	Non Resident	Agent	Credit Life & Health	6/26/1996	11/11/1996
* 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
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Credit Life & Health	6/26/1996	11/11/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Shane Cox Insurance Inc	573029	Agent - Casualty
Denied	Shane Cox Insurance Inc	573029	Agent - Property