DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tremblay, Robert R	DOIID	733015	NAIC NPN	12634240

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/23/2010	1/4/2011
Inactive	Non Resident	Agent	Health	7/23/2010	1/4/2011
* 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	Humana Insurance Company	301104	Agent - Health	8/17/2010	2/15/2011
Inactive	Humana Insurance Company	301104	Agent - Life	8/17/2010	2/15/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	8/30/2010	11/17/2010
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	8/30/2010	11/17/2010