DEPARTMENT OF INSURANCE

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	Inactive 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.

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
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/28/2023
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	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