DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lange, Roxanne M	DOIID	1016120	NAIC NPN	8429148

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/17/2024		9/30/2026
Active	Non Resident	Agent	Health	6/17/2024		9/30/2026
* 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	07/15/2024	09/30/2024	09/12/2024	09/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/25/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/21/2023	3/8/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/25/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	10/29/2018	3/9/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	10/29/2018	3/9/2022
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	6/24/2024
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	6/24/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/25/2024
Active	Thrivent Financial for Lutherans	301101	Agent - Health	6/24/2024
Active	Thrivent Financial for Lutherans	301101	Agent - Life	6/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	10/30/2018	3/9/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	10/30/2018	3/9/2022