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DEPARTMENT OF INSURANCE
Affiliations
Name
Placak, Robert Christopher
DOIID
920149
NAIC NPN
674789
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
5/23/2022
2/28/2027
Active
Non Resident
Agent
Health
5/23/2022
2/28/2027
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Anthem Life Insurance Company
301209
Agent - Health
8/9/2016
2/28/2019
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/9/2016
2/28/2019
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
8/9/2016
2/28/2019
Inactive
Designated Agent Company Inc.
681257
Agent - Health
8/9/2016
2/28/2019
Inactive
Medlink Inc
400721
Agent - Life
8/9/2016
2/28/2019
Inactive
Medlink Inc
400721
Agent - Health
8/9/2016
2/28/2019
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