DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Commonwealth Benefit Plans, Inc	DOIID	607801	NAIC NPN	8455140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/27/2005	3/31/2009
Inactive	Resident	Agent	Life	4/27/2005	3/31/2009
* 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.	300694	Agent - Health	5/16/2005	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	3/31/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/16/2005	3/31/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/16/2005	3/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Taylor, Robert Ellis	391940	Agent - Health	4/27/2005	3/31/2009
Inactive	Taylor, Robert Ellis	391940	Agent - Life	4/27/2005	3/31/2009