DEPARTMENT OF INSURANCE

Affiliations

Name	Marx, Robert Raymond	DOIID	388867	NAIC NPN	360333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	5/27/2005
Inactive	Non Resident	Agent	General Lines	12/8/1998	8/15/2000
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	3/5/2001	5/27/2005
Inactive	Non Resident	Agent	Property	8/15/2000	5/27/2005
Inactive	Non Resident	Agent	Life	12/8/1998	5/27/2005
Inactive	Non Resident	Agent	Health	12/8/1998	5/27/2005
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Security Insurance Company	300901	Agent - Casualty	8/15/2000	10/14/2004
Inactive	American Security Insurance Company	300901	Agent - General Lines	12/8/1998	8/15/2000
Inactive	American Security Insurance Company	300901	Agent - Property	8/15/2000	10/14/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/15/1999	5/27/2005
Inactive	Everlake Life Insurance Company	300873	Agent - Life	1/13/2003	9/21/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/15/1999	5/27/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/27/1999	5/12/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/27/1999	5/12/2005
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	4/12/1999	9/21/2004
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Variable Life and Variable Annuities	3/19/2001	9/21/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	5/27/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	5/27/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	5/27/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	5/27/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	5/27/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	5/27/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	5/27/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	5/27/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	4/6/2001	1/21/2005
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	8/19/1999	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	8/19/1999	3/31/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/23/2003	5/27/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/23/2003	5/27/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/23/2003	5/27/2005
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/5/2001	5/27/2005
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	3/5/2001	5/27/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	6/9/1999	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	6/9/1999	12/11/2002
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/3/1999	3/3/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/29/1999	5/27/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/29/1999	5/27/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	5/27/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	5/27/2005
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/21/1999	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/21/1999	10/1/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/5/2001	1/21/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	4/5/2001	1/21/2005
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/7/2000	5/19/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	5/27/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	5/27/2005
Inactive	Union Security Life Insurance Company	300903	Agent - Health	12/8/1998	10/14/2004
Inactive	Union Security Life Insurance Company	300903	Agent - Life	12/8/1998	10/14/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/12/1999	6/24/2005
Inactive	Western National Life Insurance Company	300461	Agent - Variable Life and Variable Annuities	3/31/2001	6/24/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chase Insurance Agency, Inc.	398324	Agent - Life	6/21/2004	1/28/2005
Inactive	Chase Insurance Agency, Inc.	398324	Agent - Health	6/21/2004	1/28/2005
Inactive	Chase Insurance Agency, Inc.	398324	Agent - Variable Life and Variable Annuities	6/21/2004	1/28/2005
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Life	12/27/2002	1/28/2005
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Health	12/27/2002	1/28/2005
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Variable Life and Variable Annuities	12/27/2002	1/28/2005
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Property	12/27/2002	1/28/2005
Inactive	Congress Insurance Agency, Inc.	560752	Agent - Casualty	12/27/2002	1/28/2005