DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	R. Haynes & Associates	DOIID	811075	NAIC NPN	16971717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	5/28/2013		3/31/2027
Active	Resident	Agent	Life	5/28/2013		3/31/2027
* 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	01/15/2025	03/31/2025	01/23/2025	01/23/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	8/30/2013	12/19/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	8/30/2013	12/19/2014
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/5/2021	12/27/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	12/8/2016	12/21/2018
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	7/15/2014	2/12/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Haynes, Robert	378812	Agent - Health	5/28/2013
Active	Haynes, Robert	378812	Agent - Life	5/28/2013