DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shapiro, Robert A	DOIID	843701	NAIC NPN	7565575

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/23/2014	5/31/2018
Inactive	Non Resident	Agent	Property	6/23/2014	5/31/2018
Inactive	Non Resident	Agent	Casualty	6/23/2014	5/31/2018
Inactive	Non Resident	Agent	Life	6/23/2014	5/31/2018
* 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	Combined Insurance Company of America	301472	Agent - Health	8/10/2016	5/31/2018
Inactive	Combined Insurance Company of America	301472	Agent - Life	8/10/2016	5/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurean, Inc.	843853	Agent - Health	12/14/2016	5/31/2018
Inactive	Insurean, Inc.	843853	Agent - Property	12/14/2016	5/31/2018
Inactive	Insurean, Inc.	843853	Agent - Life	12/14/2016	5/31/2018
Inactive	Insurean, Inc.	843853	Agent - Casualty	12/14/2016	5/31/2018