DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dorval, Roseline	DOIID	1218629	NAIC NPN	20400050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/25/2022		7/31/2024
* 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	05/15/2024	07/31/2024

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	8/12/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/12/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/12/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/25/2022	4/1/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/25/2022	4/1/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/25/2022	4/1/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/9/2023	1/8/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/25/2022	4/1/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/1/2022	7/25/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/26/2022	7/25/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/12/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/9/2023	1/8/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/9/2023	1/8/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/14/2022	8/18/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/14/2022	8/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/18/2022
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022