DEPARTMENT OF INSURANCE

Affiliations

Name	Captain, Robert W	DOIID	653732	NAIC NPN	7962973

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/13/2007	8/31/2014
Inactive	Non Resident	Agent	Health	8/13/2019	8/31/2020
* 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	8/26/2019	4/2/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/26/2019	4/2/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/22/2019	8/31/2020
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/11/2010	8/15/2013
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/11/2010	8/15/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Health	5/8/2007	1/8/2009
Inactive	Gerber Life Insurance Company	300529	Agent - Life	5/8/2007	1/8/2009
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	9/25/2013	2/11/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/26/2008	8/31/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/10/2010	1/6/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/26/2019	4/2/2020
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/21/2007	4/8/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/21/2007	4/8/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/21/2007	4/8/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/21/2007	4/8/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/15/2019	2/28/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/15/2019	2/28/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/15/2019	2/28/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/10/2010	1/6/2011
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/15/2019	2/28/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2019	8/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019	8/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	9/13/2019	4/30/2020