DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Gerry	DOIID	813368	NAIC NPN	1616238

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/27/2013	1/31/2016
Inactive	Non Resident	Agent	Property	6/27/2013	1/31/2016
Inactive	Non Resident	Agent	Life	6/27/2013	1/31/2016
Inactive	Non Resident	Agent	Health	6/27/2013	1/31/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Insurance Services National, Inc	509421	Agent - Property
Denied	USI Insurance Services National, Inc	509421	Agent - Health
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Denied	USI Insurance Services National, Inc	509421	Agent - Casualty