DEPARTMENT OF INSURANCE

Affiliations

Name	Russell, Robert B	DOIID	727041	NAIC NPN	14955886

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/28/2010	6/2/2016
Inactive	Non Resident	Agent	Health	4/28/2010	6/2/2016
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Anthem Life Insurance Company	301209	Agent - Health	5/27/2011	6/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/27/2011	6/2/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/10/2011	7/25/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/10/2011	7/25/2011
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	5/6/2011	6/24/2013
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	5/6/2011	6/24/2013
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/7/2011	1/14/2015
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/7/2011	1/14/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/22/2010	12/10/2012
Inactive	Humana Insurance Company	301104	Agent - Health	7/22/2010	12/10/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/22/2010	12/10/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/22/2010	12/10/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/22/2010	12/10/2012
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	2/7/2011	8/18/2011
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/7/2011	8/18/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/8/2010	12/26/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/22/2011	6/2/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	12/5/2012	10/22/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/11/2010	6/2/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/11/2010	3/12/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/8/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/8/2010	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/27/2011	6/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/27/2011	6/2/2016