DEPARTMENT OF INSURANCE

Affiliations

Name	Roman, Yvonne Marie	DOIID	607115	NAIC NPN	8380323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Adjuster	Independent
Inactive	Non Resident	Agent	Property	4/26/2011	1/31/2012
Inactive	Non Resident	Agent	Casualty	4/26/2011	1/31/2012
Inactive	Non Resident	Agent	Health	6/25/2014	12/14/2015
Inactive	Non Resident	Agent	Life	6/25/2014	12/14/2015
Inactive	Non Resident	Staff Adjuster	Property & Casualty	2/23/2009	1/31/2012
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	6/26/2014	6/4/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/26/2014	6/4/2015
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	10/11/2005	12/11/2006
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	10/11/2005	12/11/2006
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/26/2014	6/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/26/2014	6/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	6/26/2014	6/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	6/26/2014	6/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/26/2014	6/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/26/2014	6/4/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/26/2014	6/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/26/2014	6/4/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/14/2011	8/3/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/14/2011	8/3/2011
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	5/12/2005	12/11/2006
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	5/12/2005	12/11/2006
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	5/12/2005	12/11/2006
Inactive	USAA General Indemnity Company	300131	Agent - Property	5/12/2005	12/11/2006
Inactive	United Services Automobile Association	300158	Agent - Casualty	5/12/2005	12/11/2006
Inactive	United Services Automobile Association	300158	Agent - Property	5/12/2005	12/11/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	5/19/2011	8/3/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	5/19/2011	8/3/2011