DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roselle, Daja Monee	DOIID	949824	NAIC NPN	18095548

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	3/31/2017		8/31/2026
Pending Replacement	Non Resident	Agent	Life	3/31/2017		8/31/2026
* 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	4/29/2020	5/5/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2021	5/5/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/29/2020	5/5/2026
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/25/2017	2/24/2026
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/25/2017	2/24/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/28/2020	4/21/2026
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	4/21/2026
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/28/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/28/2020	4/15/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	4/21/2026
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/5/2018	2/18/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/29/2020	5/5/2026
Inactive	United World Life Insurance Company	300532	Agent - Health	7/5/2018	2/18/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/5/2018	2/18/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/5/2018	2/18/2022

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 - Life	4/25/2017	2/5/2026
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/25/2017	2/5/2026