DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Robert Van	DOIID	879918	NAIC NPN	17096723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/8/2015		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	3/8/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/17/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/30/2015	3/8/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/17/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	3/17/2023
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	9/17/2018	8/12/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	6/12/2015	12/21/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/25/2018	5/8/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021	5/8/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2021	5/8/2023
Inactive	CHA HMO, Inc.	300662	Agent - Health	11/23/2022	5/9/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/4/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/15/2022	5/9/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2021	5/8/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/10/2023
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/9/2019	12/29/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/28/2015	3/23/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/28/2015	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/3/2019	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	1/29/2018	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2018	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/28/2015	3/23/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/28/2015	10/22/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/31/2022	1/12/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/19/2018	11/1/2022
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/12/2017	12/29/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/1/2020	12/29/2021
Inactive	Omaha Insurance Company	751908	Agent - Health	6/30/2015	8/8/2018
Active	SilverScript Insurance Company	663526	Agent - Health	3/17/2023
Inactive	Tier One Insurance Company	301056	Agent - Health	10/24/2022	1/9/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	9/26/2018	12/29/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/21/2021	1/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/18/2015	3/21/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	3/21/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/18/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/18/2015	3/21/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	9/25/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	8/24/2016	12/5/2022