DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis Jr, Robert Arthur	DOIID	749050	NAIC NPN	7035241

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	5/15/2013		6/30/2024
Pending Replacement	Non Resident	Agent	Property	5/15/2013		6/30/2024
Pending Replacement	Non Resident	Agent	Life	5/15/2013		6/30/2024
Pending Replacement	Non Resident	Agent	Casualty	5/15/2013		6/30/2024
* 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	04/15/2024	06/30/2024

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	10/20/2015	9/17/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/20/2015	9/17/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/26/2015	4/8/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/26/2015	4/8/2017
Pending Replacement	Dentegra Insurance Company	300462	Agent - Health	10/7/2015
Pending Replacement	Reliance Standard Life Insurance Company	300584	Agent - Life	10/1/2014
Inactive	Tier One Insurance Company	301056	Agent - Health	5/31/2022	7/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aflac Benefits Advisors Inc	773014	Agent - Health	6/6/2017	3/19/2024
Inactive	Aflac Benefits Advisors Inc	773014	Agent - Life	6/6/2017	3/19/2024
Inactive	Aflac Benefits Advisors Inc	773014	Agent - Property	11/2/2018	3/19/2024
Inactive	Aflac Benefits Advisors Inc	773014	Agent - Casualty	11/2/2018	3/19/2024
Pending Replacement	Designated Agent Company Inc.	681257	Agent - Health	10/20/2015
Pending Replacement	Designated Agent Company Inc.	681257	Agent - Life	10/20/2015
Inactive	Empowered.Insure LLC	1043554	Agent - Health	1/10/2023	11/15/2023
Inactive	Empowered.Insure LLC	1043554	Agent - Life	1/10/2023	11/15/2023
Inactive	Empowered.Insure LLC	1043554	Agent - Property	1/10/2023	11/15/2023
Inactive	Empowered.Insure LLC	1043554	Agent - Casualty	1/10/2023	11/15/2023
Pending Replacement	Empoweredbenefits LLC	1216008	Agent - Health	7/12/2022
Pending Replacement	Empoweredbenefits LLC	1216008	Agent - Life	7/12/2022