DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Robert	DOIID	906600	NAIC NPN	15588932

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	2/11/2016		3/31/2026
Pending Replacement	Non Resident	Agent	Health	2/11/2016		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
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Health	7/20/2016
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Life	7/20/2016
Pending Replacement	ReliaStar Life Insurance Company	301712	Agent - Health	9/25/2020
Pending Replacement	ReliaStar Life Insurance Company	301712	Agent - Life	9/25/2020
Pending Replacement	Starmount Life Insurance Company	628031	Agent - Health	5/23/2019
Pending Replacement	Trustmark Insurance Company	300317	Agent - Health	5/29/2016
Pending Replacement	Trustmark Insurance Company	300317	Agent - Life	5/29/2016
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Health	7/20/2016
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Life	7/20/2016
Pending Replacement	Unum Insurance Company	301499	Agent - Health	5/23/2019
Pending Replacement	Unum Insurance Company	301499	Agent - Life	5/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Optavise, LLC	671337	Agent - Life	8/14/2018
Pending Replacement	Optavise, LLC	671337	Agent - Health	8/14/2018