DEPARTMENT OF INSURANCE

Affiliations

Name	Purvis Ii, Robert Shawn	DOIID	957827	NAIC NPN	17063605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/19/2017	7/31/2026
Active	Non Resident	Agent	Life	6/19/2017	7/31/2026
* 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	05/15/2024	07/31/2024	06/03/2024	06/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	11/30/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/13/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	7/13/2017	8/11/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/21/2017	12/22/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	7/21/2017	12/22/2020
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/6/2020	12/9/2021
Active	Cigna National Health Insurance Company	300235	Agent - Health	4/25/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/13/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/9/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/16/2017	6/8/2018
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/6/2024
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	10/16/2017	7/22/2019
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	10/16/2017	9/24/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/16/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/16/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/16/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/16/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/16/2017	6/8/2018
Inactive	Independent Life Insurance Company	301831	Agent - Health	4/5/2018	12/26/2018
Inactive	Independent Life Insurance Company	301831	Agent - Life	4/5/2018	12/26/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/9/2019	1/9/2023
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	8/14/2017	2/12/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	12/6/2017
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	10/16/2017	8/8/2022
Inactive	SILAC Insurance Company	300535	Agent - Health	7/3/2017	3/29/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	7/3/2017	3/29/2018
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/6/2018	10/26/2021
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	11/7/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	9/28/2022	1/22/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/23/2020	6/8/2023
Active	Western United Life Assurance Company	659052	Agent - Health	12/19/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019