DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Semko, Roman Criswell	DOIID	999261	NAIC NPN	18800098

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/27/2018	9/30/2020
Inactive	Non Resident	Agent	Life	6/27/2018	9/30/2020
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	7/6/2018	1/24/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/6/2018	1/24/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/23/2019	9/30/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/18/2019	9/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/6/2018	1/24/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/6/2018	1/24/2019