DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Park, Robb A	DOIID	1019617	NAIC NPN	10342683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/19/2018		4/30/2027
Active	Non Resident	Agent	Health	11/19/2018		4/30/2027
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	11/24/2018	10/17/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/24/2018	10/17/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	12/18/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	12/18/2024
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	6/12/2025
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	6/12/2025
Active	Southern Guaranty Insurance Company	969411	Agent - Health	5/14/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/24/2018	10/17/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/24/2018	10/17/2023