DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ulysse, Roulyns Malachi	DOIID	1103413	NAIC NPN	19208383

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/7/2020	5/31/2023
* 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. (PA)	660717	Agent - Health	10/19/2020	5/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/19/2020	5/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/19/2020	5/31/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/14/2021	3/16/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/7/2021	3/16/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/20/2021	3/16/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/8/2021	3/16/2023
Inactive	Humana Insurance Company	301104	Agent - Health	4/5/2023	5/31/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/7/2021	3/16/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/8/2021	3/16/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/19/2020	5/31/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/6/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/6/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/9/2022	7/21/2023