DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roper-Fuller, Kayla	DOIID	926097	NAIC NPN	18074100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/25/2016	9/30/2017
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2016	12/1/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	12/1/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2016	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/27/2016	12/1/2016