DEPARTMENT OF INSURANCE

Affiliations

Name	Pacek, Robert	DOIID	655790	NAIC NPN	8396668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/18/2007	4/30/2025
Active	Non Resident	Agent	Life	5/18/2007	4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Assurance Company	300586	Agent - Health	10/1/2007	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	10/1/2007	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	9/2/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	9/2/2016
Active	American Heritage Life Insurance Company	300272	Agent - Health	11/18/2014
Active	American Heritage Life Insurance Company	300272	Agent - Life	11/18/2014
Active	Combined Insurance Company of America	301472	Agent - Health	6/12/2024
Active	Combined Insurance Company of America	301472	Agent - Life	6/12/2024
Active	Continental American Insurance Company	301700	Agent - Health	10/7/2021
Active	Continental American Insurance Company	301700	Agent - Life	10/7/2021
Inactive	HM Life Insurance Company	301408	Agent - Health	9/28/2007	2/16/2017
Inactive	HM Life Insurance Company	301408	Agent - Life	9/28/2007	2/16/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/27/2011	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/27/2011	12/8/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/1/2014	6/26/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/1/2014	6/26/2020
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/15/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/15/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Health	10/20/2011
Active	ReliaStar Life Insurance Company	301712	Agent - Life	10/20/2011
Active	Starmount Life Insurance Company	628031	Agent - Health	10/15/2024
Inactive	Texas Life Insurance Company	300345	Agent - Life	3/16/2017	12/30/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/10/2017
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/10/2017
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/5/2009	3/11/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/5/2009	3/11/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/15/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/15/2024
Active	Unum Insurance Company	301499	Agent - Health	10/15/2024
Active	Unum Insurance Company	301499	Agent - Life	10/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	4/5/2012	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	4/5/2012	1/7/2020
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Life	2/1/2020
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Health	2/1/2020