DEPARTMENT OF INSURANCE

Affiliations

Name	Roman, David	DOIID	1117694	NAIC NPN	19733666

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/24/2023	3/31/2026
Active	Non Resident	Agent	Personal Lines	1/21/2021	3/31/2026
Active	Non Resident	Agent	Life	3/24/2023	3/31/2026
* 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	01/15/2026	03/31/2026

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	3/28/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/28/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	3/28/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/28/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/28/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/28/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	3/13/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/24/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/28/2023
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	2/1/2021	8/17/2022
Active	HealthSpring Life and Health Insurance Company, Inc.	684899	Agent - Health	9/12/2025
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	9/12/2025
Active	Humana Insurance Company	301104	Agent - Health	12/5/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	1/28/2025
Active	SilverScript Insurance Company	663526	Agent - Health	3/28/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	2/1/2021	8/17/2022
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	2/1/2021	8/17/2022
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	2/1/2021	8/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/24/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/24/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Personal Lines	4/13/2022	8/17/2022