DEPARTMENT OF INSURANCE
Affiliations
NameRoman, Harry DOIID1084277NAIC NPN19495634
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/20/2020 8/31/2025
ActiveNon ResidentAgentPersonal Lines3/24/2022 8/31/2025
ActiveNon ResidentAgentHealth5/20/2020 8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Personal Lines5/29/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines5/25/2023 
InactiveFreedom Life Insurance Company of America300074Agent - Health6/5/20203/11/2022
InactiveFreedom Life Insurance Company of America300074Agent - Life6/5/20203/11/2022
ActiveIntegon Indemnity Corporation300674Agent - Personal Lines2/24/2025 
ActiveLiberty Mutual Personal Insurance Company959584Agent - Personal Lines1/28/2025 
ActivePeerless Indemnity Insurance Company571682Agent - Personal Lines4/24/2023 
ActiveProgressive Casualty Insurance Company300696Agent - Personal Lines6/5/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUshealth Advisors Llc713288Agent - Life6/5/20203/11/2022
InactiveUshealth Advisors Llc713288Agent - Health6/5/20203/11/2022

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