DEPARTMENT OF INSURANCE

Affiliations

Name	Koval, Roman Victor	DOIID	771731	NAIC NPN	10450992

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/31/2011	5/31/2026
Active	Non Resident	Agent	Health	12/31/2011	5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	9/4/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/11/2013
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/4/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	1/11/2013
Active	Aetna Life Insurance Company	301140	Agent - Life	1/11/2013
Active	American General Life Insurance Company	301585	Agent - Health	8/2/2012
Active	American General Life Insurance Company	301585	Agent - Life	8/2/2012
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	11/25/2025
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/22/2024	8/19/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/21/2013	9/16/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/21/2013	9/16/2020
Active	Baltimore Life Insurance Company	300286	Agent - Life	7/18/2023
Active	CICA Life Insurance Company of America	600487	Agent - Life	1/1/2024
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	2/18/2013	7/16/2019
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	2/18/2013	7/16/2019
Active	Combined Insurance Company of America	301472	Agent - Health	10/9/2012
Active	Combined Insurance Company of America	301472	Agent - Life	10/9/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/12/2012	4/8/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/4/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/4/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/9/2014	6/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/12/2012	4/8/2017
Inactive	Elixir Insurance Company	696846	Agent - Health	4/10/2018	9/18/2020
Inactive	Federal Insurance Company	301144	Agent - Health	10/4/2018	3/17/2020
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/6/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/12/2013	3/31/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/12/2013	3/31/2015
Inactive	GCU	962873	Agent - Life	6/3/2021	3/14/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/17/2012	6/3/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/17/2012	6/3/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/9/2015	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/10/2012	3/22/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/12/2012	3/22/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/12/2012	3/22/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/12/2012	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/12/2012	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/9/2015	4/8/2017
Inactive	Independent Order of Foresters	300743	Agent - Life	3/20/2019	5/28/2021
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/10/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/10/2013	10/22/2015
Active	Liberty Bankers Life Insurance Company	542461	Agent - Life	9/12/2024
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	8/19/2021	6/6/2023
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	8/19/2021	6/6/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	10/12/2018	12/21/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	5/19/2022	1/9/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	6/16/2019	2/8/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/5/2021	4/22/2022
Active	National Health Insurance Company	300554	Agent - Health	9/23/2014
Active	National Health Insurance Company	300554	Agent - Life	9/23/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/12/2016	1/2/2018
Inactive	PHL Variable Insurance Company	300525	Agent - Life	7/10/2018	12/3/2020
Inactive	Pekin Life Insurance Company	300951	Agent - Health	4/14/2023	6/25/2024
Inactive	Pekin Life Insurance Company	300951	Agent - Life	4/14/2023	6/25/2024
Inactive	Royal Neighbors of America	301646	Agent - Life	2/2/2021	11/29/2022
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Health	5/11/2020	2/3/2025
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	5/11/2020	2/3/2025
Active	SILAC Insurance Company	300535	Agent - Life	8/11/2024
Active	Securico Life Insurance Company	1351368	Agent - Life	10/17/2025
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	6/8/2021
Active	Starmount Life Insurance Company	628031	Agent - Health	11/6/2013
Active	Starmount Life Insurance Company	628031	Agent - Life	11/6/2013
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	7/26/2013	6/22/2016
Active	Tier One Insurance Company	301056	Agent - Health	6/5/2025
Active	Tier One Insurance Company	301056	Agent - Life	6/5/2025
Inactive	Time Insurance Company	300683	Agent - Health	9/15/2017	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	9/15/2017	11/23/2019
Active	United States Fire Insurance Company	582240	Agent - Health	9/20/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/11/2020	7/24/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/11/2020	7/24/2023
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/14/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/14/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/14/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/6/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/3/2013	2/17/2025
Inactive	Velapoint LLC	721963	Agent - Life	11/20/2013	11/22/2019
Inactive	Velapoint LLC	721963	Agent - Health	11/20/2013	11/22/2019