DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	O'Brien, Roberta Lee	DOIID	624033	NAIC NPN	8690938

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/16/2009	1/1/2017
Inactive	Resident	Agent	Health	3/16/2009	1/1/2017
* 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	Aetna Health Inc.	300694	Agent - Health	9/22/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	1/1/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/22/2006	1/1/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/22/2006	1/1/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/13/2006	8/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/13/2006	8/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2006	1/1/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2006	1/1/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/28/2006	1/1/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/28/2006	1/1/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/10/2006	11/18/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/10/2006	11/18/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/6/2006	12/29/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/6/2006	12/29/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/12/2006	1/1/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/17/2006	2/15/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/17/2006	2/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/12/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/12/2006	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	1/1/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	1/1/2009