DEPARTMENT OF INSURANCE

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
Active	Non Resident	Agent	Health	3/31/2017		8/31/2026
Active	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	08/20/2024	08/20/2024	Yes

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	4/29/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/29/2020
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/25/2017
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/25/2017
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/28/2020
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	10/28/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	10/28/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/5/2018	2/18/2022
Active	SilverScript Insurance Company	663526	Agent - Health	4/29/2020
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
Active	TZ Insurance Solutions LLC	727470	Agent - Life	4/25/2017
Active	TZ Insurance Solutions LLC	727470	Agent - Health	4/25/2017