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.

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
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
Active	Humana Insurance Company	301104	Agent - Health	4/29/2020
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
Active	Designated Agent Company Inc.	681257	Agent - Life	10/10/2018
Active	Designated Agent Company Inc.	681257	Agent - Health	10/10/2018