DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dumont, Robert	DOIID	903074	NAIC NPN	17745169

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/4/2016	2/29/2024
Inactive	Non Resident	Agent	Health	1/4/2016	2/29/2024
* 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	New York Life Insurance Company	300431	Agent - Health	10/8/2019	11/3/2022
Inactive	New York Life Insurance Company	300431	Agent - Life	10/8/2019	11/3/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/21/2016	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/21/2016	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/21/2016	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/21/2016	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	5/10/2019	11/3/2022
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	5/10/2019	11/3/2022