DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Falk, Robert C	DOIID	1078135	NAIC NPN	12679245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/16/2020		6/30/2025
Active	Non Resident	Agent	Health	3/16/2020		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/23/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/5/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	3/23/2020
Active	American General Life Insurance Company	301585	Agent - Health	5/28/2020
Active	American General Life Insurance Company	301585	Agent - Life	5/28/2020
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	2/8/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	3/24/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/18/2020
Active	CareSource Kentucky Co.	838179	Agent - Health	10/25/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	11/16/2020
Active	Golden Rule Insurance Company	301943	Agent - Life	11/16/2020
Active	National Health Insurance Company	300554	Agent - Health	3/30/2020
Active	National Health Insurance Company	300554	Agent - Life	3/30/2020
Active	SilverScript Insurance Company	663526	Agent - Health	3/23/2020
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/16/2021	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	3/30/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	3/24/2020
Inactive	Velapoint LLC	721963	Agent - Life	4/7/2020	9/17/2021
Inactive	Velapoint LLC	721963	Agent - Health	4/7/2020	9/17/2021