DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Park, Robb A	DOIID	1019617	NAIC NPN	10342683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/19/2018		4/30/2027
Active	Non Resident	Agent	Health	11/19/2018		4/30/2027
* 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	02/15/2025	04/30/2025	03/07/2025	03/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/24/2018	10/17/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/24/2018	10/17/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	12/18/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	12/18/2024
Active	Southern Guaranty Insurance Company	969411	Agent - Health	5/14/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/24/2018	10/17/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/24/2018	10/17/2023