DEPARTMENT OF INSURANCE

Affiliations

Name	Tootle, Robert Edward	DOIID	1203270	NAIC NPN	20314879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/5/2022		5/31/2026
* 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
Active	AmeriHealth Caritas Services, LLC	838468	Administrator - Not Applicable	5/31/2022
Active	PerformRX, LLC	722324	Administrator - Not Applicable	5/31/2022