DEPARTMENT OF INSURANCE

Affiliations

Name	Roch, Suzanne M	DOIID	608260	NAIC NPN	7403929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/2/2011	9/4/2013
Inactive	Non Resident	Agent	Life	11/2/2011	9/4/2013
* 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	6/8/2013	10/10/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/8/2013	10/10/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/3/2012	10/22/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/3/2012	10/22/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	10/10/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/8/2013	10/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/12/2012	10/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/12/2012	10/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/2/2012	10/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/2/2012	10/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/8/2013	10/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/8/2013	10/10/2013
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/2/2005	2/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/7/2005	2/19/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/26/2012	8/22/2013
Inactive	New England Life Insurance Company	300343	Agent - Health	8/2/2005	2/19/2008
Inactive	Omaha Insurance Company	751908	Agent - Health	9/26/2012	8/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/26/2012	8/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/26/2012	8/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/22/2012	11/15/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/22/2012	11/15/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	7/9/2012	4/22/2013
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	7/9/2012	4/22/2013