DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

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