DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Robert Eugene	DOIID	315487	NAIC NPN	1479140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		11/30/2026
Active	Resident	Agent	Health	6/24/1981		11/30/2026
Active	Resident	Agent	Property	8/15/2000		11/30/2026
Active	Resident	Agent	Life	6/24/1981		11/30/2026
Inactive	Resident	Agent	General Lines	6/23/1981	8/15/2000
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/20/2006	2/8/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/20/2006	2/8/2010
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	2/25/2012
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	9/9/1981	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	2/25/2012
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	2/25/2012
Inactive	Allstate Insurance Company	300773	Agent - General Lines	6/23/1981	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	2/25/2012
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	2/25/2012
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	2/25/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/5/2000	8/29/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/5/2000	8/29/2011
Inactive	Assurity Life Insurance Company	301099	Agent - Health	3/10/2006	12/16/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/10/2006	12/16/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/11/2019	5/27/2024
Inactive	Celtic Insurance Company	300877	Agent - Health	12/1/1992	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	12/1/1992	3/31/1997
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/2/2016	9/9/2022
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/2/2016	9/9/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	11/27/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/24/1981	2/25/2012
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/24/1981	2/25/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/28/2015	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/28/2015	12/14/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/10/1999	12/31/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/13/2007	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	2/13/2007	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	2/13/2007	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/13/2007	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/13/2007	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/13/2007	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/13/2007	11/27/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/26/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/26/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/19/1997	2/25/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/19/1997	2/25/2012
Inactive	MedAmerica Insurance Company	301568	Agent - Health	3/8/2006	12/7/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/22/2006	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/22/2006	11/19/2008
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/13/2015	1/28/2016
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/4/2021	6/16/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/4/2021	6/16/2021
Inactive	Pacific Specialty Insurance Company	301846	Agent - Casualty	3/20/2001	2/16/2011
Inactive	Pacific Specialty Insurance Company	301846	Agent - Property	3/20/2001	2/16/2011
Active	Principal Life Insurance Company	300129	Agent - Health	8/16/2012
Active	Principal Life Insurance Company	300129	Agent - Life	8/16/2012
Inactive	Prudential Insurance Company of America	300784	Agent - Health	4/6/2006	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	4/6/2006	12/23/2014
Inactive	Standard Insurance Company	300185	Agent - Health	4/19/2018	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	4/19/2018	12/5/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/30/2013	1/29/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/30/2013	1/29/2016
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/4/2021	6/16/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/4/2021	6/16/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	9/5/2012	1/12/2022
Inactive	Westfield Insurance Company	301950	Agent - Property	9/5/2012	1/12/2022
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/4/2021	6/16/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/4/2021	6/16/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/4/2021	6/16/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/4/2021	6/16/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/4/2021	6/16/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/4/2021	6/16/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	3/12/2014	9/22/2022
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	3/12/2014	9/22/2022
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	3/12/2014	1/12/2022
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	3/12/2014	1/12/2022
Inactive	Medlink Inc	400721	Agent - Life	1/25/2016	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	1/25/2016	3/31/2024
Inactive	Willis Insurance Services LLC	702589	Agent - Life	3/30/2009	3/31/2015
Inactive	Willis Insurance Services LLC	702589	Agent - Health	3/30/2009	3/31/2015
Inactive	Willis Insurance Services LLC	702589	Agent - Property	3/30/2009	3/31/2015
Inactive	Willis Insurance Services LLC	702589	Agent - Casualty	3/30/2009	3/31/2015