DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kristofak, Robert Michael	DOIID	595170	NAIC NPN	2369220

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/27/2021		4/30/2025
Active	Non Resident	Agent	Health	7/27/2021		4/30/2025
* 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
Active	American United Life Insurance Company	300498	Agent - Health	11/5/2021
Active	American United Life Insurance Company	300498	Agent - Life	11/5/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/29/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/29/2021
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/16/2021
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	9/16/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliant Insurance Services, Inc.	551378	Agent - Health	8/29/2021
Active	Alliant Insurance Services, Inc.	551378	Agent - Life	8/29/2021