DEPARTMENT OF INSURANCE

Affiliations

Name	Hackman, Robert Edward	DOIID	324057	NAIC NPN	233190

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001		10/31/2024
Active	Non Resident	Agent	Health	5/6/1987		10/31/2024
Active	Non Resident	Agent	Life	5/6/1987		10/31/2024
Inactive	Non Resident	Agent	Health Maintenance Organization	3/1/1990	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

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	11/13/2014	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/13/2014	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/13/2014	7/8/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/13/1999	10/31/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/13/1999	10/31/2012
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/1/1990	3/1/2001
Active	Anthem Life Insurance Company	301209	Agent - Health	12/19/1995
Active	Anthem Life Insurance Company	301209	Agent - Life	12/19/1995
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	9/16/2013
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	3/13/1991	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	3/13/1991	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/15/2009	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/15/2009	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/15/2009	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/20/2019	4/8/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/13/2014	7/8/2021
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	2/7/1996	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	2/7/1996	12/23/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/14/1988	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/14/1988	3/31/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/6/1992	11/15/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/6/1992	11/15/2013
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/21/2019	4/8/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/21/2019	4/8/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	8/21/1995	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/20/2019	4/8/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/29/1996	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	11/20/2019	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	2/22/1995	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/20/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/20/2019	4/8/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/21/2019	4/8/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/21/2019	4/8/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	2/24/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/8/2018	4/12/2021
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	11/8/2018	4/12/2021
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	10/22/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/21/1990
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/21/1990
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/27/2001
Inactive	National Life Insurance Company	301852	Agent - Health	9/17/1991	8/2/1996
Inactive	National Life Insurance Company	301852	Agent - Life	9/17/1991	8/2/1996
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/14/1998	11/26/2018
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	5/31/2001	11/26/2018
Active	Principal Life Insurance Company	300129	Agent - Health	5/6/1987
Active	Principal Life Insurance Company	300129	Agent - Life	5/6/1987
Inactive	Time Insurance Company	300683	Agent - Health	12/1/1988	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	12/1/1988	3/31/1997
Active	Transamerica Life Insurance Company	300571	Agent - Life	7/26/2012
Active	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	7/26/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/17/2014
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/17/2014	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015

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	12/5/1995	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/5/1995	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/29/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/29/2008
Active	LPL FINANCIAL LLC	399327	Agent - Life	4/5/2013
Active	LPL FINANCIAL LLC	399327	Agent - Health	4/5/2013
Active	LPL FINANCIAL LLC	399327	Agent - Variable Life and Variable Annuities	4/5/2013
Active	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Life	4/11/2013
Active	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Health	4/11/2013