DEPARTMENT OF INSURANCE

Affiliations

Name	Mayes, Robert Leslie	DOIID	309659	NAIC NPN	7159943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/28/1994	4/1/2012
Inactive	Resident	Agent	Life	9/28/1994	4/1/2012
Inactive	Resident	Agent	Property	9/6/2005	4/1/2012
* 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	Anthem Life Insurance Company	301209	Agent - Health	5/22/2000	4/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/22/2000	4/1/2012
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	9/12/2000	3/23/2012
Inactive	Conseco Insurance Company	301202	Agent - Life	11/29/1999	10/3/2003
Inactive	Continental General Insurance Company	300691	Agent - Health	1/18/2000	1/7/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	1/18/2000	1/7/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Health	12/8/1999	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/8/1999	7/19/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	11/15/1999	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	11/15/1999	12/26/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	4/4/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/14/2011	4/1/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/14/2011	4/1/2012
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	9/6/2005	7/2/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/14/2006	11/1/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/27/2010	4/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/27/2010	4/1/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/3/2009	4/1/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/3/2009	4/1/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	6/14/2006	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	11/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/3/2000	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/3/2000	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	4/1/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	4/1/2012