DEPARTMENT OF INSURANCE

Affiliations

Name	Roussel, Robert P	DOIID	715829	NAIC NPN	7596635

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/15/2009	11/30/2025
Active	Non Resident	Agent	Life	10/15/2009	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/24/2010
Active	Aetna Life Insurance Company	301140	Agent - Health	6/28/2010
Active	Aetna Life Insurance Company	301140	Agent - Life	6/28/2010
Active	All Savers Insurance Company	301940	Agent - Health	4/1/2024
Active	All Savers Insurance Company	301940	Agent - Life	4/1/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	9/14/2016	1/8/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	9/14/2016	1/8/2018
Active	American United Life Insurance Company	300498	Agent - Health	12/14/2021
Active	American United Life Insurance Company	300498	Agent - Life	12/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/10/2018	9/2/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/2018	9/2/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/14/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/12/2012	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/12/2012	7/2/2013
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/29/2020	12/15/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/20/2014
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/20/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/22/2016	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/15/2018	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/5/2011	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	4/29/2020	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	12/26/2016	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/29/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/22/2016	4/8/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/22/2016	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/5/2016	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/12/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/12/2012	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/5/2011	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/5/2011	8/9/2018
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	1/14/2015
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/2/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/2/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	5/2/2022
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	1/31/2012
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	1/31/2012
Active	Transamerica Life Insurance Company	300571	Agent - Health	2/14/2012
Active	Transamerica Life Insurance Company	300571	Agent - Life	2/14/2012
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/2/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/2/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/28/2013
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/28/2013
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/1/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/1/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/1/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	4/1/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	4/1/2024
Active	Unum Insurance Company	301499	Agent - Health	5/2/2022
Active	Unum Insurance Company	301499	Agent - Life	5/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brown & Brown Insurance Services Inc	637940	Agent - Life	3/21/2024
Active	Brown & Brown Insurance Services Inc	637940	Agent - Health	3/21/2024
Inactive	Brown & Brown of Nashville Inc	675114	Agent - Life	1/20/2010	8/26/2011
Inactive	Brown & Brown of Nashville Inc	675114	Agent - Health	1/20/2010	8/26/2011
Active	Brown & Brown of Tennessee Inc	534534	Agent - Life	10/26/2011
Active	Brown & Brown of Tennessee Inc	534534	Agent - Health	10/26/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/10/2018	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/10/2018	2/17/2025