DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Robert James	DOIID	316900	NAIC NPN	398226

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/26/2006	5/31/2014
Inactive	Non Resident	Agent	General Lines	7/3/1997	8/15/2000
Inactive	Non Resident	Agent	Health	5/26/2006	5/31/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/22/2009	8/31/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/22/2009	8/31/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/22/2009	8/31/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	2/15/2007	7/6/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	2/15/2007	7/6/2010
Inactive	American Security Insurance Company	300901	Agent - General Lines	7/3/1997	8/15/2000
Inactive	American Security Insurance Company	300901	Agent - Health	1/18/2000	1/3/2001
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	9/3/2009	6/22/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/13/2010	9/28/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/13/2010	9/28/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/13/2010	9/28/2010
Inactive	Companion Life Insurance Company	300191	Agent - Health	4/24/2013	5/31/2014
Inactive	Companion Life Insurance Company	300191	Agent - Life	4/24/2013	5/31/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/28/2010
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/25/2013	5/31/2014
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/25/2013	5/31/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/8/2009	9/14/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/8/2009	9/14/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2009	9/28/2010
Inactive	Humana Insurance Company	301104	Agent - Health	2/1/2007	9/28/2010
Inactive	Humana Insurance Company	301104	Agent - Life	2/1/2007	9/28/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/1/2007	9/28/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/1/2007	9/28/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/1/2007	9/28/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/1/2007	9/28/2010
Inactive	Revol One Insurance Company	300681	Agent - Life	7/8/2011	5/31/2012
Inactive	Sears Life Insurance Company	300218	Agent - Health	3/24/1999	9/27/2001
Inactive	Sears Life Insurance Company	300218	Agent - Life	3/24/1999	9/27/2001
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	5/3/2013	5/31/2014
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	10/16/1998	3/29/2001
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	10/16/1998	3/29/2001
Inactive	Time Insurance Company	300683	Agent - Health	10/21/2011	5/31/2014
Inactive	Time Insurance Company	300683	Agent - Life	10/21/2011	5/31/2014
Inactive	Transamerica Casualty Insurance Company	300311	Agent - General Lines	3/16/1999	8/15/2000
Inactive	Union Security Life Insurance Company	300903	Agent - Health	7/3/1997	1/3/2001
Inactive	Union Security Life Insurance Company	300903	Agent - Life	7/3/1997	1/3/2001
Inactive	United American Insurance Company	300910	Agent - Health	8/3/2006	10/29/2007
Inactive	United American Insurance Company	300910	Agent - Life	8/3/2006	10/29/2007
Inactive	United States Fire Insurance Company	582240	Agent - Health	3/14/2013	5/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AHB Sales LLC	787451	Agent - Life	4/4/2013	2/27/2014
Inactive	AHB Sales LLC	787451	Agent - Health	4/4/2013	2/27/2014
Inactive	HBDC II, Inc	641352	Agent - Life	2/16/2007	9/28/2010
Inactive	HBDC II, Inc	641352	Agent - Health	2/16/2007	9/28/2010
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	4/4/2013	2/27/2014
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	4/4/2013	2/27/2014