DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cossins, Robert Kristefer	DOIID	818539	NAIC NPN	16682385

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/10/2022		5/31/2026
Active	Non Resident	Agent	Life	5/10/2022		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	3/28/2014	7/2/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	3/28/2014	7/2/2014
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	4/16/2020	7/14/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/16/2020	7/14/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/8/2020	7/4/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/8/2020	7/4/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Life	2/25/2020	9/17/2020
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	4/3/2014	7/15/2014
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	6/2/2014	8/19/2014
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	6/2/2014	8/19/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/13/2019	8/1/2020
Inactive	Omaha Insurance Company	751908	Agent - Health	5/5/2014	5/31/2016
Inactive	SILAC Insurance Company	300535	Agent - Health	10/18/2013	7/8/2014
Inactive	SILAC Insurance Company	300535	Agent - Life	10/18/2013	7/8/2014
Inactive	United World Life Insurance Company	300532	Agent - Health	9/17/2018	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/8/2020	7/14/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/8/2020	7/14/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2021	7/14/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2021	7/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/11/2020	7/14/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/11/2020	7/14/2021