DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kristofak, Robert Michael	DOIID	595170	NAIC NPN	2369220

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/27/2021		4/30/2027
Active	Non Resident	Agent	Life	7/27/2021		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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American United Life Insurance Company	300498	Agent - Health	11/5/2021	6/30/2025
Inactive	American United Life Insurance Company	300498	Agent - Life	11/5/2021	6/30/2025
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/29/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/29/2021
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/16/2021
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	9/16/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliant Insurance Services, Inc.	551378	Agent - Health	8/29/2021
Active	Alliant Insurance Services, Inc.	551378	Agent - Life	8/29/2021