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DEPARTMENT OF INSURANCE
Affiliations
Name
Mathis Jr, Robert R
DOIID
826362
NAIC NPN
17100763
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
11/1/2013
2/8/2018
Inactive
Non Resident
Agent
Health
11/1/2013
2/8/2018
* 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 Health Plans of Kentucky, Inc.
300999
Agent - Health
11/13/2013
2/8/2018
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
12/15/2016
2/8/2018
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Life
12/15/2016
2/8/2018
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
1/31/2014
5/28/2015
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
9/13/2016
1/10/2017
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
1/31/2014
5/28/2015
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
11/30/2016
1/10/2017
Inactive
Humana Insurance Company
301104
Agent - Health
9/13/2016
1/10/2017
Inactive
Humana Insurance Company
301104
Agent - Life
9/13/2016
1/10/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
9/13/2016
1/10/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
9/13/2016
1/10/2017
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
10/12/2016
1/10/2017
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/31/2014
5/28/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
1/31/2014
5/28/2015
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 - Life
11/13/2014
5/28/2015
Inactive
Designated Agent Company Inc.
681257
Agent - Health
11/13/2014
2/8/2018
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