DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brickweg, Robert Harry	DOIID	658905	NAIC NPN	8993418

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/5/2007	3/31/2022
Inactive	Non Resident	Agent	Life	7/5/2007	3/31/2022
Inactive	Non Resident	Agent	Property	10/20/2014	3/31/2022
Inactive	Non Resident	Agent	Casualty	10/20/2014	3/31/2022
* 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	6/4/2010	3/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/4/2010	3/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/4/2010	3/31/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/13/2008	4/30/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/13/2008	4/30/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/10/2010	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	12/10/2010	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	12/10/2010	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/10/2010	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/10/2010	4/25/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/23/2010	3/31/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/23/2010	3/31/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/10/2010	3/31/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/10/2010	3/31/2022
Inactive	Standard Insurance Company	300185	Agent - Health	2/19/2010	3/31/2022
Inactive	Standard Insurance Company	300185	Agent - Life	2/19/2010	3/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/10/2010	3/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/10/2010	3/31/2022
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	6/15/2010	5/17/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	4/28/2011	3/31/2022