DEPARTMENT OF INSURANCE

Affiliations

Name	Roy, Adam M	DOIID	808846	NAIC NPN	16891302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/25/2013	12/31/2020
Inactive	Non Resident	Agent	Health	4/25/2013	12/31/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/20/2016	12/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/20/2016	12/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/8/2017	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/12/2013	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/12/2013	12/31/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	12/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/5/2016	12/13/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/20/2016	12/31/2020
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	10/31/2018	12/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/5/2016	4/29/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/6/2018	4/29/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/5/2016	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/23/2016	12/31/2020
Inactive	Humana Insurance Company	301104	Agent - Life	8/5/2016	12/31/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/9/2016	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/9/2016	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/9/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/29/2019
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/20/2013	2/13/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	9/11/2017	8/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	12/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/30/2013	1/20/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/20/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/30/2013	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	1/20/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	12/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	12/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aevo Insurance Services LLC	740985	Agent - Life	8/14/2017	12/31/2020
Inactive	Aevo Insurance Services LLC	740985	Agent - Health	8/14/2017	4/29/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/26/2013	12/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/12/2013	12/31/2020