DEPARTMENT OF INSURANCE
Affiliations
NameMardis, Robert ADOIID603324NAIC NPN7651511
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/18/20051/31/2022 
InactiveNon ResidentAgentCasualty2/18/20051/31/2022 
InactiveNon ResidentAgentVariable Life and Variable Annuities2/18/20051/31/2022 
InactiveNon ResidentAgentLife2/18/20051/31/2022 
InactiveNon ResidentAgentProperty2/18/20051/31/2022 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Pet Insurance Company, Inc.301240Agent - Casualty2/16/20181/31/2022
InactiveAmerican Pet Insurance Company, Inc.301240Agent - Property2/16/20181/31/2022
InactiveHumana Health Plan, Inc.300142Agent - Health5/16/20143/23/2016
InactiveHumana Insurance Company301104Agent - Health4/5/20166/8/2018
InactiveHumana Insurance Company301104Agent - Life4/5/20166/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/16/20143/23/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/16/20143/23/2016
InactiveNassau Life Insurance Company301406Agent - Life5/9/20077/22/2011
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities5/9/20077/22/2011
InactivePHL Variable Insurance Company300525Agent - Life5/6/20051/4/2013
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities5/6/20051/4/2013
InactiveState Farm Fire and Casualty Company301809Agent - Casualty3/30/20202/2/2021
InactiveState Farm Fire and Casualty Company301809Agent - Property3/30/20202/2/2021
InactiveState Farm General Insurance Company301122Agent - Property3/3/20052/9/2006
InactiveState Farm Health Insurance Company301026Agent - Variable Life and Variable Annuities3/3/20053/17/2005
InactiveState Farm Life Insurance Company301810Agent - Life3/3/20052/9/2006
InactiveState Farm Life Insurance Company301810Agent - Variable Life and Variable Annuities3/17/20052/9/2006
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Casualty3/3/20052/9/2006
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Health3/3/20059/12/2006
InactiveTime Insurance Company300683Agent - Health5/10/20078/3/2016
InactiveTime Insurance Company300683Agent - Life5/10/20078/3/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveInsurance Placement Services Inc.519096Agent - Life4/4/20051/31/2022
InactiveInsurance Placement Services Inc.519096Agent - Health4/4/20051/31/2022
InactiveInsurance Placement Services Inc.519096Agent - Variable Life and Variable Annuities4/4/20051/4/2013
InactiveInsurance Placement Services Inc.519096Agent - Casualty4/4/20052/9/2006
InactiveInsurance Placement Services Inc.519096Agent - Property4/4/20052/9/2006

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