DEPARTMENT OF INSURANCE

Affiliations

Name	Roshek, Raymond M	DOIID	512448	NAIC NPN	273626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/9/2012	8/31/2014
Inactive	Non Resident	Agent	Health	8/9/2012	8/31/2014
* 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	American National Life Insurance Company of Texas	300912	Agent - Health	9/18/2001	1/23/2007
Inactive	American United Life Insurance Company	300498	Agent - Health	11/2/2005	8/31/2008
Inactive	American United Life Insurance Company	300498	Agent - Life	11/2/2005	8/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/14/2012	7/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/14/2012	7/1/2013
Inactive	Avemco Insurance Company	300669	Agent - Health	6/14/2001	6/15/2005
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/24/2013	5/1/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/24/2013	5/1/2014
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/14/2001	8/28/2007
Inactive	HCC Life Insurance Company	301827	Agent - Life	4/21/2004	8/28/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/8/2005	8/31/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/8/2005	8/31/2008
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/24/2013	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/22/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	3/22/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	3/22/2013	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/24/2013	5/1/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/8/2004	8/31/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/8/2004	8/31/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/22/2013	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/22/2013	5/1/2014
Inactive	Life Insurance Company of North America	300711	Agent - Health	4/12/2002	8/31/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/15/2008	10/13/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/15/2008	10/13/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/1/2002	8/31/2008
Denied	UnitedHealthcare Insurance Company	300946	Agent - Life
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/31/2000	8/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/14/2012	7/15/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/14/2012	7/15/2013
Inactive	Hylant Group, Inc.	523019	Agent - Health	7/17/2001	8/31/2008
Inactive	Hylant Group, Inc.	523019	Agent - Life	4/22/2004	8/31/2008