DEPARTMENT OF INSURANCE

Affiliations

Name	Tomblin, Robert K	DOIID	501379	NAIC NPN	2445479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	2/15/2007	10/31/2008
Inactive	Non Resident	Agent	Life	2/15/2007	10/31/2008
Inactive	Non Resident	Agent	Health	2/15/2007	10/31/2008
* 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
Denied	Continental Casualty Company	301019	Agent - Health
Inactive	Delaware Life Insurance Company	301256	Agent - Life	6/20/2005	10/31/2006
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	6/20/2005	10/31/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/6/2000	10/31/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/6/2000	10/31/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Variable Life and Variable Annuities	6/11/2001	10/31/2006
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Health	11/7/2007	10/7/2008
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	11/7/2007	10/7/2008
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	11/7/2007	10/7/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/1/2000	10/31/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/1/2000	10/31/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/3/2000	10/31/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/3/2000	10/31/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Variable Life and Variable Annuities	5/31/2001	10/31/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/13/2000	10/31/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/13/2000	10/31/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	1/27/2003	10/31/2006
Inactive	Manufacturers Life Insurance Company of America (The)	300618	Agent - Life	3/13/2000	1/1/2003
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/20/2005	10/31/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	6/20/2005	10/31/2006
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	6/20/2005	10/31/2006
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Variable Life and Variable Annuities	6/20/2005	10/31/2006
Inactive	Nassau Life Insurance Company	301406	Agent - Health	3/14/2000	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	3/14/2000	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Variable Life and Variable Annuities	6/25/2001	2/13/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/1/2000	10/31/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/1/2000	10/31/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	6/23/2005	10/31/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/8/2005	6/23/2005
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	3/8/2005	6/23/2005
Inactive	PHL Variable Insurance Company	300525	Agent - Health	3/14/2000	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	3/14/2000	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Variable Life and Variable Annuities	6/25/2001	2/13/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	1/8/2002	10/31/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	1/8/2002	10/31/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/7/2007	10/31/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/7/2007	10/31/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	11/7/2007	10/31/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Health	11/7/2007	10/31/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Life	11/7/2007	10/31/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	11/7/2007	10/31/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/6/2000	10/31/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/6/2000	10/31/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	6/14/2001	10/31/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	3/6/2000	10/31/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	3/6/2000	10/31/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	6/14/2001	10/31/2006
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Health	2/15/2007	9/30/2008
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Life	2/15/2007	9/30/2008
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Variable Life and Variable Annuities	2/15/2007	9/30/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/21/2005	10/31/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	6/21/2005	10/31/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/21/2005	10/31/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/11/2000	10/31/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/11/2000	10/31/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	5/8/2006	10/31/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/2/2002	10/31/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	1/2/2002	10/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	3/28/2007	10/21/2008
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Health	3/28/2007	10/21/2008
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Variable Life and Variable Annuities	3/28/2007	10/21/2008
Inactive	Prudential Equity Group, LLC	399017	Agent - Life	2/16/2004	3/4/2005
Inactive	Prudential Equity Group, LLC	399017	Agent - Health	2/16/2004	3/4/2005
Inactive	Prudential Equity Group, LLC	399017	Agent - Variable Life and Variable Annuities	2/16/2004	3/4/2005
Inactive	Wells Fargo Advisors Insurance Agency LLC	399972	Agent - Life	6/8/2004	10/31/2006
Inactive	Wells Fargo Advisors Insurance Agency LLC	399972	Agent - Health	6/8/2004	10/31/2006
Inactive	Wells Fargo Advisors Insurance Agency LLC	399972	Agent - Variable Life and Variable Annuities	6/8/2004	10/31/2006