DEPARTMENT OF INSURANCE

Affiliations

Name	Robert, Rosane	DOIID	715777	NAIC NPN	8974501

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/1/2021	2/28/2025
Inactive	Non Resident	Agent	Health	11/1/2021	2/28/2025
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	10/10/2016	6/4/2018
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/10/2016	6/4/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/27/2014	2/10/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/27/2014	2/10/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	5/21/2013	9/17/2014
Inactive	Continental American Insurance Company	301700	Agent - Life	5/21/2013	9/17/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/25/2019	10/14/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/25/2019	10/14/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/1/2012	3/28/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/1/2012	3/28/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/24/2015	2/28/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/24/2015	2/28/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/7/2022	2/28/2025
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/7/2022	2/28/2025
Inactive	Starmount Life Insurance Company	628031	Agent - Health	1/7/2022	2/28/2025
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	3/15/2011	3/16/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	3/15/2011	3/16/2012
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/16/2013	6/16/2016
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/16/2013	6/16/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/7/2022	2/28/2025
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/7/2022	2/28/2025
Inactive	USAble Life	564807	Agent - Health	1/10/2018	2/28/2021
Inactive	USAble Life	564807	Agent - Life	1/10/2018	2/28/2021
Inactive	Unum Insurance Company	301499	Agent - Health	1/7/2022	2/28/2025
Inactive	Unum Insurance Company	301499	Agent - Life	1/7/2022	2/28/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefits Technologies LLC	901085	Agent - Life	2/20/2017	2/14/2019
Inactive	Benefits Technologies LLC	901085	Agent - Health	2/20/2017	2/14/2019
Inactive	Willis Of Illinois Inc	398318	Agent - Life	10/24/2017	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	10/24/2017	1/7/2020