DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Booth, Robert G	DOIID	522102	NAIC NPN	1840767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/7/2016	8/31/2022
Inactive	Non Resident	Agent	Life	7/7/2016	8/31/2022
* 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	Athene Annuity and Life Company	301893	Agent - Life	2/21/2002	9/13/2004
Inactive	London Pacific Life & Annuity Company	300371	Agent - Life	2/22/2002	3/31/2003
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/22/2002	8/31/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/26/2001	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/26/2001	11/25/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	10/9/2008	11/25/2009
Inactive	Medlink Inc	400721	Agent - Health	10/9/2008	8/31/2012
Inactive	National Senior Associates Company, LLC	399022	Agent - Life	3/15/2002	1/18/2005
Inactive	National Senior Associates Company, LLC	399022	Agent - Health	3/15/2002	1/18/2005