DEPARTMENT OF INSURANCE

Affiliations

Name	Robert, Rosane	DOIID	715777	NAIC NPN	8974501

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/1/2021	2/28/2025
Active	Non Resident	Agent	Health	11/1/2021	2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	10/10/2016	6/4/2018
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/10/2016	6/4/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/27/2014	2/10/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/27/2014	2/10/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	5/21/2013	9/17/2014
Inactive	Continental American Insurance Company	301700	Agent - Life	5/21/2013	9/17/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/25/2019	10/14/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/25/2019	10/14/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/1/2012	3/28/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/1/2012	3/28/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/24/2015	2/28/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/24/2015	2/28/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	1/7/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	1/7/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	1/7/2022
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	3/15/2011	3/16/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	3/15/2011	3/16/2012
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/16/2013	6/16/2016
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/16/2013	6/16/2016
Active	UNUM Life Insurance Company of America	300817	Agent - Health	1/7/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	1/7/2022
Inactive	USAble Life	564807	Agent - Health	1/10/2018	2/28/2021
Inactive	USAble Life	564807	Agent - Life	1/10/2018	2/28/2021
Active	Unum Insurance Company	301499	Agent - Health	1/7/2022
Active	Unum Insurance Company	301499	Agent - Life	1/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefits Technologies LLC	901085	Agent - Life	2/20/2017	2/14/2019
Inactive	Benefits Technologies LLC	901085	Agent - Health	2/20/2017	2/14/2019
Inactive	Willis Of Illinois Inc	398318	Agent - Life	10/24/2017	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	10/24/2017	1/7/2020