DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roque, Misty Alleene	DOIID	1156218	NAIC NPN	19290583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/2/2021		10/31/2026
* 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	08/15/2024	10/31/2024	09/24/2024	09/24/2024	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	9/14/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/14/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/14/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/17/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/17/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/17/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/7/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/17/2022
Active	SilverScript Insurance Company	663526	Agent - Health	9/14/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/7/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/7/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Health	1/9/2024