DEPARTMENT OF INSURANCE

Affiliations

Name	Roman, Andy	DOIID	923072	NAIC NPN	17596594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/25/2018	5/31/2026
Active	Non Resident	Agent	Life	10/25/2018	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
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	10/28/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/1/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2019	10/28/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/1/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	5/1/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/1/2020	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	2/22/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	6/26/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/22/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/22/2020	4/15/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2019	3/18/2025
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/19/2017	5/31/2018
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/3/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	6/26/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/15/2019	10/28/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021	10/28/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/24/2016	5/15/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/5/2016	5/31/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/26/2020	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/24/2024	3/18/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/24/2016	5/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/4/2024	3/18/2025
Inactive	Humana Insurance Company	301104	Agent - Life	10/24/2016	5/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/24/2016	5/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/24/2016	5/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/30/2024	3/18/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/15/2017	5/15/2018
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	8/12/2019	10/22/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/3/2025
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/25/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/13/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/13/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/3/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/22/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	7/22/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	7/22/2020
Active	Ensurem II LLC	908041	Agent - Life	5/15/2019
Active	Ensurem II LLC	908041	Agent - Health	5/15/2019