DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Robert E	DOIID	698749	NAIC NPN	230416

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	2/5/2009	6/21/2011
Inactive	Non Resident	Agent	Health	8/9/2013	3/31/2017
Inactive	Non Resident	Agent	Life	8/9/2013	3/31/2017
* 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	2/17/2015	3/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/17/2015	3/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/17/2015	3/31/2017
Inactive	American Continental Insurance Company	643130	Agent - Health	10/8/2013	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	10/8/2013	11/12/2014
Inactive	American Republic Corp Insurance Company	300615	Agent - Health	8/22/2013	4/12/2016
Inactive	American Republic Corp Insurance Company	300615	Agent - Life	8/22/2013	4/12/2016
Inactive	American Republic Insurance Company	300861	Agent - Health	8/22/2013	4/12/2016
Inactive	American Republic Insurance Company	300861	Agent - Life	8/22/2013	4/12/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/25/2013	5/20/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/26/2014	5/28/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/17/2015	3/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/27/2013	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/27/2013	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/26/2014	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/26/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/26/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/26/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/26/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/26/2014	5/28/2015
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	8/22/2013	4/12/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	5/30/2014	4/12/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	5/30/2014	4/12/2016
Inactive	Medico Insurance Company	301559	Agent - Health	2/26/2014	4/12/2016
Inactive	Medico Insurance Company	301559	Agent - Life	2/26/2014	4/12/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	2/17/2009	6/21/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/28/2013	3/10/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	3/10/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/28/2013	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	3/10/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	3/26/2009	5/12/2011