DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roush Helwig, Amy M	DOIID	959846	NAIC NPN	1789453

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/10/2017		7/31/2026
Active	Non Resident	Agent	Life	7/10/2017		7/31/2026
* 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	05/15/2024	07/31/2024	06/21/2024	06/21/2024	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	7/6/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	7/6/2021
Active	All Savers Insurance Company	301940	Agent - Health	6/28/2024
Active	All Savers Insurance Company	301940	Agent - Life	6/28/2024
Active	Principal Life Insurance Company	300129	Agent - Health	3/10/2023
Active	Principal Life Insurance Company	300129	Agent - Life	3/10/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	8/31/2018
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/31/2018
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	7/31/2023
Active	Paychex Insurance Agency Inc	509469	Agent - Life	3/13/2024
Active	Paychex Insurance Agency Inc	509469	Agent - Health	3/13/2024