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.

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