DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roman, Daniel T	DOIID	983825	NAIC NPN	18670796

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/9/2018	3/13/2023
Inactive	Non Resident	Agent	Health	2/9/2018	3/13/2023
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	3/13/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	3/13/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/15/2018	3/13/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	2/15/2018	8/11/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	8/30/2022	3/13/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/21/2020	12/27/2022
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	3/13/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/12/2020	12/9/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/15/2018	3/13/2023
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/19/2022	3/3/2023
Inactive	GCU	962873	Agent - Health	2/26/2019	12/13/2019
Inactive	Independent Life Insurance Company	301831	Agent - Health	3/26/2018	12/13/2018
Inactive	Independent Life Insurance Company	301831	Agent - Life	3/26/2018	12/13/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/11/2019	12/23/2022
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	3/28/2018	3/13/2023
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	3/12/2018	8/8/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	3/13/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	7/14/2021	6/22/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/10/2020	2/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019	12/15/2022
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019	12/15/2022