DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gearhart, Robert M.	DOIID	353651	NAIC NPN	1817358

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	12/4/1992	3/31/1999
Inactive	Non Resident	Agent	Prepaid Dental Plan	8/24/2000	3/1/2001
Inactive	Non Resident	Agent	Health	3/1/2001	2/29/2004
* 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	Dental Choice, Inc.	301702	Agent - Health	3/1/2001	12/31/2003
Inactive	Dental Choice, Inc.	301702	Agent - Prepaid Dental Plan	8/24/2000	3/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	North American Benefits Network Inc.	396026	Administrator - Not Applicable	12/4/1992	3/31/1999
Inactive	Planchoice Inc.	400482	Agent - Health	3/19/2003	2/29/2004