DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Elise G	DOIID	341441	NAIC NPN	1499188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/18/2009		7/31/2026
Active	Non Resident	Agent	Life	3/18/2009		7/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	9/2/1997	3/1/2001
* 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	05/13/2024	05/13/2024	Yes

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	11/12/2009	11/21/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/12/2009	11/21/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/12/2009	11/21/2011
Active	Allianz Life Insurance Company of North America	301791	Agent - Health	7/1/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	7/9/2020
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	7/16/2013	9/18/2014
Inactive	American National Insurance Company	301861	Agent - Health	3/3/2010	6/3/2021
Active	American National Insurance Company	301861	Agent - Life	3/3/2010
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	American United Life Insurance Company	300498	Agent - Health	11/10/2009	5/17/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	11/10/2009	5/17/2015
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/23/2019	1/5/2022
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	3/29/2010	9/12/2011
Inactive	Athene Annuity and Life Company	301893	Agent - Life	3/24/2010	3/1/2011
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/15/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/15/1995	3/31/1997
Inactive	Centre Life Insurance Company	300341	Agent - Health	5/27/1997	3/31/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	7/12/1996	4/12/1999
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/27/2009	11/3/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/27/2009	11/3/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/27/2009	11/3/2011
Inactive	Continental Casualty Company	301019	Agent - Health	12/1/1999	7/1/2002
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/24/2009	2/11/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	11/3/2011
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/30/2009	2/10/2011
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/12/1998	7/1/2002
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/24/2009	2/11/2011
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/17/1998	7/1/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/17/1998	7/1/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/26/2009	12/11/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/26/2009	12/11/2020
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/6/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/6/2010	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	7/6/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/6/2011	12/26/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	11/16/2009	2/5/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/15/2009	11/3/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/2/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	7/15/2009	11/3/2011
Inactive	Humana Insurance Company	301104	Agent - Life	7/15/2009	11/3/2011
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/7/1996	7/18/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/7/1996	7/18/1997
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	8/7/2009	4/13/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/1/2010	12/13/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/17/2010	12/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/15/2009	11/3/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/15/2009	11/3/2011
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	6/10/2010	1/29/2013
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	6/10/2010	1/29/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/23/1999	7/1/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/23/1999	7/1/2002
Inactive	Manufacturers Life Insurance Company of America (The)	300618	Agent - Health	2/23/1999	12/31/2001
Inactive	Manufacturers Life Insurance Company of America (The)	300618	Agent - Life	2/23/1999	12/31/2001
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/7/2014	7/14/2017
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	8/28/2000	7/1/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/9/1999	7/1/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/9/1999	7/1/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	9/3/1996	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	9/3/1996	3/31/2001
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/8/2010	8/1/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/8/2010	8/1/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/26/2009	12/26/2012
Inactive	National Life Insurance Company	301852	Agent - Health	2/10/1997	6/21/2001
Inactive	National Life Insurance Company	301852	Agent - Life	2/10/1997	6/21/2001
Inactive	New England Life Insurance Company	300343	Agent - Health	4/30/2001	7/1/2002
Inactive	New England Life Insurance Company	300343	Agent - Life	4/30/2001	7/1/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	3/27/1996	7/1/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/4/2010	9/1/2010
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	8/18/2020	12/28/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	4/17/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/28/2009	11/5/2011
Inactive	Pacific Life Insurance Company	301848	Agent - Health	5/28/1999	7/1/2002
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/28/1999	7/1/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/8/1998	7/1/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/8/1998	7/1/2002
Inactive	Physicians Life Insurance Company	300924	Agent - Health	3/23/2009	10/4/2011
Inactive	Physicians Life Insurance Company	300924	Agent - Life	3/23/2009	7/17/2009
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	3/23/2009	7/17/2009
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/5/1993	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/5/1993	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/9/1996	7/1/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/9/1996	7/1/2002
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/7/1999	7/1/2002
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/7/1999	7/1/2002
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/7/1999	7/1/2002
Inactive	Prudential Insurance Company of America	300784	Agent - Life	6/7/1999	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/27/1999	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/27/1999	7/1/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	4/22/1999	10/2/2000
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/22/1999	10/2/2000
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	8/11/1998	7/1/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	8/11/1998	7/1/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Health	3/28/1995	6/25/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/28/1995	6/25/2001
Inactive	Time Insurance Company	300683	Agent - Health	10/30/2009	12/3/2012
Inactive	Time Insurance Company	300683	Agent - Life	10/30/2009	12/3/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/4/2009	5/7/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/4/2009	8/1/2016
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	8/7/1996	7/1/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/7/1996	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/17/2000	7/1/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/17/2000	7/1/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	3/24/1997	7/1/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	3/24/1997	12/17/2001
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/26/2009	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/26/2009	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/3/2012	9/30/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/3/2012	9/30/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/12/2011	9/30/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/3/2012	9/30/2014
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	1/23/1997	7/1/2002
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	1/23/1997	7/1/2002
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	8/21/1996	6/28/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	8/21/1996	6/28/2000
Inactive	World Insurance Company	300396	Agent - Health	11/30/1990	2/1/1996
Inactive	World Insurance Company	300396	Agent - Life	11/30/1990	2/1/1996
Inactive		300277	Agent - Health	6/9/1999	7/1/2002
Inactive		300277	Agent - Life	6/9/1999	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	3/3/2011	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	3/3/2011	3/31/2024
Inactive	Professional Insurance Marketers Inc.	400645	Agent - Life	2/28/1996	7/1/2002
Inactive	Professional Insurance Marketers Inc.	400645	Agent - Health	2/28/1996	7/1/2002