DEPARTMENT OF INSURANCE

Affiliations

Name	Skaggs, Robert N	DOIID	564955	NAIC NPN	1878063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/26/2019	12/29/2020
Inactive	Resident	Agent	Life	7/17/2019	2/28/2021
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/24/2005	4/1/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/24/2005	4/1/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2012	1/28/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2012	1/28/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/8/2012	3/10/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/8/2012	3/10/2015
Inactive	CHA HMO, Inc.	300662	Agent - Health	11/18/2003	4/1/2007
Inactive	CMD Health, Inc.	702047	Agent - Health	11/18/2009	3/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/25/2012	7/14/2014
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/6/2012	2/28/2015
Inactive	Companion Life Insurance Company	300191	Agent - Life	8/6/2012	2/28/2015
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	7/26/2012	3/31/2015
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	7/26/2012	3/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/9/2013	7/14/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/8/2012	3/10/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/8/2012	4/16/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/26/2012	3/30/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/26/2012	3/30/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/9/2013	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	8/9/2013	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	8/9/2013	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/9/2013	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/9/2013	7/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/25/2012	7/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/25/2012	7/14/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cumberland Valley Insurance Mgmt Inc.	401247	Agent - Health	4/3/2012	2/17/2014
Inactive	Cumberland Valley Insurance Mgmt Inc.	401247	Agent - Life	5/1/2012	2/17/2014
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/3/2012	7/22/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	1/28/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	1/28/2014
Inactive	Strategic Business Services, LLC	629250	Agent - Health	2/8/2008	2/4/2010
Inactive	Strategic Business Services, LLC	629250	Agent - Life	2/8/2008	2/4/2010