DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cornett, Robert J	DOIID	386632	NAIC NPN	968160

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/17/2009	11/30/2021
Inactive	Non Resident	Agent	Health	1/29/1996	11/30/2021
* 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	7/14/2009	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/14/2009	11/3/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/31/2015	10/11/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/16/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/16/2013	12/5/2014
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	1/29/1996	12/17/2002
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	1/29/1996	2/8/2001
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/29/1996	8/7/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/29/1996	8/7/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/16/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2013	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/16/2013	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/16/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/16/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/16/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/16/2013	12/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/14/2009	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/14/2009	11/2/2016
Inactive	USI Midwest LLC	517736	Agent - Life	1/24/2014	8/18/2016
Inactive	USI Midwest LLC	517736	Agent - Health	1/24/2014	8/18/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/5/2016	10/11/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/5/2016	11/3/2016