DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Robinson, Jeremiah Ray	DOIID	574094	NAIC NPN	7819854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Health	1/29/2007	1/31/2008
* 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	Cigna National Health Insurance Company	300235	Agent - Health	2/14/2005	1/16/2006
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/14/2003	11/1/2004
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	4/26/2005	1/31/2006
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	10/4/2005	1/16/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/2/2005	1/16/2006
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/3/2005	1/16/2006
Inactive	United American Insurance Company	300910	Agent - Health	10/31/2005	1/31/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	1/25/2005	1/16/2006
Inactive	United World Life Insurance Company	300532	Agent - Health	3/4/2005	1/16/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	COSTELLOW MANAGEMENT INC	614755	Agent - Health	10/17/2005	1/31/2006
Inactive	Senior American Insurance Services, LLC	601102	Agent - Health	3/16/2005	1/31/2006