DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Spencer, Roger	DOIID	990744	NAIC NPN	18486574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/17/2018		7/31/2026
Active	Non Resident	Agent	Life	12/18/2018		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	07/10/2024	07/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/14/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/14/2019
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/24/2018
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	7/11/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/24/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/24/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/7/2021	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/24/2018	12/10/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	5/28/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/24/2018	12/10/2018
Active	Lumico Life Insurance Company	300354	Agent - Life	12/7/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/20/2020	1/23/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	11/20/2020	1/23/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	11/20/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	11/20/2020

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	12/20/2018	4/15/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	1/14/2019	4/15/2024
Active	Trubridge Inc	717747	Agent - Health	5/17/2024
Active	Trubridge Inc	717747	Agent - Life	5/17/2024