DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez, Robert Stanley	DOIID	619847	NAIC NPN	8501141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/15/2005	8/31/2008
* 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	Humana Health Plan, Inc.	300142	Agent - Health	12/14/2005	7/13/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/14/2005	7/13/2007
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	11/23/2007	8/31/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/23/2007	8/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Extend Insurance Services, LLC	625753	Agent - Health