DEPARTMENT OF INSURANCE
Affiliations
NamePuckett, Robert EarlDOIID371595NAIC NPN7000927
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization5/2/19963/1/2001 
InactiveResidentAgentLife6/23/199311/1/2017 
InactiveResidentAgentHealth6/23/199311/1/2017 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdvantage Care, Inc.300998Agent - Health Maintenance Organization5/2/199612/1/2000
InactiveAllianz Life Insurance Company of North America301791Agent - Health7/25/200311/20/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/25/200311/20/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health5/7/199911/13/2017
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life5/7/199911/13/2017
InactiveAmerican Heritage Life Insurance Company300272Agent - Health12/10/200811/1/2017
InactiveAmerican Heritage Life Insurance Company300272Agent - Life12/10/200811/1/2017
InactiveAmerican National Insurance Company301861Agent - Life2/25/199711/1/2017
InactiveAmeritas Life Insurance Corporation300126Agent - Health7/14/20041/12/2017
InactiveAmeritas Life Insurance Corporation300126Agent - Life7/14/20041/12/2017
InactiveAnthem Life Insurance Company301209Agent - Health6/22/199811/3/2016
InactiveAnthem Life Insurance Company301209Agent - Life6/22/199811/3/2016
InactiveAssurity Life Insurance Company301099Agent - Health8/7/20128/21/2014
InactiveAssurity Life Insurance Company301099Agent - Life8/7/20128/21/2014
InactiveAthene Annuity & Life Assurance Company301798Agent - Health1/16/20071/20/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Life1/16/20071/20/2010
InactiveBankers Life Insurance Company301784Agent - Health8/22/20032/1/2005
InactiveBankers Life Insurance Company301784Agent - Life8/22/20032/1/2005
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/200111/1/2017
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization9/20/19963/1/2001
InactiveCHA HMO, Inc.300662Agent - Health3/1/20018/7/2006
InactiveCHA HMO, Inc.300662Agent - Health Maintenance Organization9/11/19963/1/2001
InactiveCICA Life Insurance Company of America600487Agent - Life1/1/20052/20/2007
InactiveCMD Health, Inc.702047Agent - Health11/18/20093/31/2013
InactiveChase Insurance Life and Annuity Company300518Agent - Health11/13/20014/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life11/13/20014/1/2007
InactiveColumbian Life Insurance Company300810Agent - Health12/2/20057/24/2013
InactiveColumbian Life Insurance Company300810Agent - Life12/2/20052/23/2015
InactiveColumbian Mutual Life Insurance Company301130Agent - Life7/1/201110/27/2011
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/200812/5/2014
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20087/2/2013
InactiveCompanion Life Insurance Company300191Agent - Health7/17/200211/1/2017
InactiveCompanion Life Insurance Company300191Agent - Life7/17/200211/1/2017
InactiveContinental General Insurance Company300691Agent - Health11/6/200011/1/2004
InactiveContinental General Insurance Company300691Agent - Life11/6/200011/1/2004
InactiveDental Concern Inc. (The)301641Agent - Health6/17/200212/5/2014
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life1/2/20022/24/2004
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health11/13/200111/24/2009
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life11/13/20017/27/2016
InactiveFidelity Security Life Insurance Company300466Agent - Health10/7/20021/5/2015
InactiveFidelity Security Life Insurance Company300466Agent - Life10/7/20021/5/2015
InactiveFirst Alliance Insurance Company301000Agent - Life3/7/20021/1/2005
InactiveFirst Colony Life Insurance Company301179Agent - Health2/19/20027/14/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life2/19/20027/14/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health1/30/200212/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life1/30/200212/23/2008
InactiveGolden Rule Insurance Company301943Agent - Health11/21/200511/2/2017
InactiveGolden Rule Insurance Company301943Agent - Life11/21/200511/2/2017
InactiveHM Life Insurance Company301408Agent - Health11/11/200510/8/2008
InactiveHM Life Insurance Company301408Agent - Life11/11/200510/8/2008
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20018/14/2015
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization9/20/19963/1/2001
InactiveHumana Insurance Company300118Agent - Health9/20/199612/31/1998
InactiveHumana Insurance Company301104Agent - Health12/10/19968/14/2015
InactiveHumana Insurance Company300118Agent - Life9/20/199612/31/1998
InactiveHumana Insurance Company301104Agent - Life12/10/19968/14/2015
InactiveHumanaDental Insurance Company301457Agent - Health10/16/20012/22/2012
InactiveIL Annuity and Insurance Company300772Agent - Life12/19/19966/30/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Health3/25/200212/15/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Life3/25/200212/15/2003
InactiveIndianapolis Life Insurance Company301381Agent - Health3/14/19971/31/2000
InactiveIndianapolis Life Insurance Company301381Agent - Life6/30/20033/21/2005
InactiveInter-State Assurance Company301556Agent - Life2/22/19994/5/2002
InactiveInvestors Heritage Life Insurance Company300363Agent - Health6/23/19932/23/2016
InactiveInvestors Heritage Life Insurance Company300363Agent - Life6/23/19932/23/2016
InactiveJefferson National Life Insurance Company300258Agent - Life6/12/20036/8/2006
InactiveKanawha Insurance Company300127Agent - Health4/11/20084/25/2013
InactiveKanawha Insurance Company300127Agent - Life4/11/20084/25/2013
InactiveLife Investors Insurance Company of America301793Agent - Health3/8/20022/19/2007
InactiveLife Investors Insurance Company of America301793Agent - Life3/8/20022/19/2007
InactiveLincoln Heritage Life Insurance Company500016Agent - Health11/8/20053/17/2008
InactiveLincoln Heritage Life Insurance Company500016Agent - Life11/8/20053/17/2008
InactiveManhattanLife Insurance and Annuity Company301795Agent - Health11/1/20023/17/2005
InactiveManhattanLife Insurance and Annuity Company301795Agent - Life11/1/20023/17/2005
InactiveMedAmerica Insurance Company301568Agent - Health11/25/20025/17/2005
InactiveNational States Insurance Company300579Agent - Life2/11/20029/9/2002
InactivePan-American Life Insurance Company301530Agent - Health10/1/200110/11/2007
InactivePan-American Life Insurance Company301530Agent - Life10/1/200110/11/2007
InactivePhysicians Mutual Insurance Company301084Agent - Health2/4/20025/23/2003
InactivePrincipal Life Insurance Company300129Agent - Health6/24/199912/8/2008
InactivePrincipal Life Insurance Company300129Agent - Life6/24/199912/8/2008
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/31/2009
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/31/2009
InactiveReliance Standard Life Insurance Company300584Agent - Health11/15/200511/1/2017
InactiveReliance Standard Life Insurance Company300584Agent - Life11/15/200511/1/2017
InactiveTime Insurance Company300683Agent - Health1/28/199910/17/2011
InactiveTime Insurance Company300683Agent - Life1/28/199910/17/2011
InactiveTransamerica Life Insurance Company300571Agent - Health3/14/20126/27/2017
InactiveTransamerica Life Insurance Company300571Agent - Life3/14/20126/27/2017
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Health12/14/19998/22/2005
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life12/14/19996/26/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health2/10/19986/26/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life2/10/19986/26/2003
InactiveTransamerica Premier Life Insurance Company300558Agent - Health3/14/20127/22/2013
InactiveTransamerica Premier Life Insurance Company300558Agent - Life3/14/20127/22/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/12/199811/21/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Life8/12/199811/21/2005
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/18/20152/14/2017
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization11/24/19983/1/2001
InactiveUnity Mutual Life Insurance Company300100Agent - Life4/29/19997/1/2011
InactiveWest Coast Life Insurance Company301607Agent - Life11/14/200312/29/2005
InactiveWilton Reassurance Life Company of New York300163Agent - Life6/13/20036/8/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life6/16/19986/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health6/16/19986/23/2008
InactiveDental Choice Agency Inc.398085Agent - Health4/27/20051/9/2014
InactiveDesignated Agent Company Inc.681257Agent - Life2/5/200911/2/2016
InactiveDesignated Agent Company Inc.681257Agent - Health2/5/200911/2/2016
InactiveStrategic Business Services, LLC629250Agent - Life7/3/20062/4/2010
InactiveStrategic Business Services, LLC629250Agent - Health7/3/20062/4/2010

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