DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Siegel, Robert Paul	DOIID	961437	NAIC NPN	17132821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/25/2017	5/31/2020
Inactive	Non Resident	Agent	Life	7/25/2017	5/31/2020
* 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	AXIS Insurance Company	301290	Agent - Health	9/5/2017	10/10/2019
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/22/2019	5/31/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/13/2018	5/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/22/2019	5/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/22/2019	5/31/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	12/13/2018	5/31/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	12/6/2017	2/12/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/24/2019	5/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/24/2019	5/31/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/13/2018	5/31/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/18/2017	12/7/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/18/2017	12/7/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	5/31/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/5/2017	11/16/2017
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/29/2019	5/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/29/2019	5/31/2020

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	5/24/2019	5/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/24/2019	5/31/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/20/2018	3/26/2019