DEPARTMENT OF INSURANCE

Affiliations

Name	Hagaman, Robert W	DOIID	599586	NAIC NPN	3230061

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/7/2014	4/6/2016
Inactive	Non Resident	Agent	Life	11/7/2014	4/6/2016
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/20/2013	2/6/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/20/2013	2/6/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/20/2013	2/6/2014
Inactive	American Continental Insurance Company	643130	Agent - Health	9/3/2008	2/6/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	9/3/2008	2/6/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	7/5/2015	4/6/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	7/5/2015	4/6/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/14/2011	2/6/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/14/2011	2/6/2014
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	8/10/2009	2/4/2013
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/27/2008	2/6/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/14/2014	5/10/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/19/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/19/2008	7/2/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/11/2008	2/6/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/14/2014	5/10/2016
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	7/16/2009	2/6/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/27/2008	2/6/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/5/2015	4/6/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/5/2015	4/6/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	7/3/2013	2/6/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/3/2013	2/6/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/14/2014	5/10/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/14/2014	5/10/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/14/2014	5/10/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/14/2014	5/10/2016
Inactive	Humana Insurance Company	301104	Agent - Life	11/14/2014	5/10/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/14/2014	5/10/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/14/2014	5/10/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/14/2014	5/10/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/19/2008	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/19/2008	2/24/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	10/11/2008	2/6/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/26/2010	2/6/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/26/2010	2/6/2014
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	8/26/2011	10/30/2012
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	8/26/2011	10/30/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/17/2012	2/6/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/21/2009	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	5/1/2012	8/22/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/8/2008	2/8/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	10/8/2008	7/17/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/13/2008	2/6/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/13/2008	2/6/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/31/2008	2/6/2014
Inactive	Revol One Insurance Company	300681	Agent - Life	9/1/2011	5/31/2012
Inactive	Royal Neighbors of America	301646	Agent - Life	6/4/2008	2/6/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/28/2008	2/6/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/28/2008	2/6/2014
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	7/28/2008	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/28/2008	10/1/2008
Inactive	United World Life Insurance Company	300532	Agent - Health	4/21/2009	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/21/2009	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/21/2009	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/8/2008	2/8/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/8/2008	2/6/2014
Inactive	Vantis Life Insurance Company	572176	Agent - Life	2/21/2012	2/6/2014
Inactive	West Coast Life Insurance Company	301607	Agent - Health	9/23/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/23/2008	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/14/2011	1/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/14/2011	1/31/2014