DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott, Roxanne S	DOIID	381786	NAIC NPN	1008157

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/15/2020		8/31/2026
Active	Non Resident	Agent	Life	4/15/2020		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commercial Travelers Life Insurance Company	300512	Agent - Health	12/20/2001	12/9/2002
Inactive	Continental Casualty Company	301019	Agent - Health	3/13/2003	8/10/2005
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	3/13/2003	4/27/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	3/13/2003	4/27/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/7/2006	6/11/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/7/2006	6/11/2008
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Health	3/11/2003	4/27/2006
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Life	3/11/2003	4/27/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/20/1997	4/27/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/20/1997	4/27/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	1/22/2003	4/27/2006
Inactive	Union Security Insurance Company	301844	Agent - Life	1/22/2003	4/27/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	3/13/2003	8/10/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	3/13/2003	8/10/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ism Insurance, Inc.	397638	Agent - Life	1/18/2005	4/27/2006
Inactive	Ism Insurance, Inc.	397638	Agent - Health	1/18/2005	4/27/2006