DEPARTMENT OF INSURANCE

Affiliations

Name	Fornino, Robin	DOIID	879755	NAIC NPN	1960532

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/5/2015	7/31/2026
Active	Non Resident	Agent	Health	6/5/2015	7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/17/2015
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/17/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	7/17/2015
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/24/2015
Active	First Health Life & Health Insurance Company	301735	Agent - Health	7/17/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/9/2015	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/9/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/9/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/18/2019	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	6/9/2015	5/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/9/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/9/2015	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/9/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/9/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/9/2015	10/22/2015
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	USAA Life Insurance Company	300734	Agent - Health	6/11/2015	10/17/2025
Inactive	USAA Life Insurance Company	300734	Agent - Life	6/11/2015	10/17/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	6/15/2015	11/6/2019
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	6/15/2015	11/6/2019
Inactive	USAA Life General Agency Inc	399318	Agent - Health	7/21/2015	4/21/2025
Inactive	USAA Life General Agency Inc	399318	Agent - Life	7/21/2015	4/21/2025