PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NamePlacak, Robert ChristopherDOIID920149NAIC NPN674789
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/23/2022 2/28/2027
ActiveNon ResidentAgentHealth5/23/2022 2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202602/28/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health8/9/20162/28/2019
InactiveAnthem Life Insurance Company301209Agent - Life8/9/20162/28/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life8/9/20162/28/2019
InactiveDesignated Agent Company Inc.681257Agent - Health8/9/20162/28/2019
InactiveMedlink Inc400721Agent - Life8/9/20162/28/2019
InactiveMedlink Inc400721Agent - Health8/9/20162/28/2019

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