DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennetsen, Robert E	DOIID	848159	NAIC NPN	682839

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/14/2014		3/31/2026
Active	Non Resident	Agent	Health	8/14/2014		3/31/2026
* 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 Health Plan, Inc.	300142	Agent - Health	3/17/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/17/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/17/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/17/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/17/2015	10/22/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/22/2016	4/27/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/22/2016	4/27/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crystal Ibc LLC	864482	Agent - Health	6/24/2023
Active	Crystal Ibc LLC	864482	Agent - Life	6/24/2023