DEPARTMENT OF INSURANCE
Affiliations
NameRollyson, Raymond DOIID1156565NAIC NPN447431
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/3/2021 1/31/2026
ActiveNon ResidentAgentCasualty9/3/2021 1/31/2026
ActiveNon ResidentAgentLife9/3/2021 1/31/2026
ActiveNon ResidentAgentProperty9/3/2021 1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202501/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health11/13/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health11/13/2021 
ActiveAetna Life Insurance Company301140Agent - Health11/13/2021 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health12/28/2021 
InactiveCompBenefits Insurance Company301864Agent - Health12/30/202112/12/2024
InactiveCompBenefits Insurance Company301864Agent - Life12/30/202112/12/2024
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health12/28/2021 
ActiveSilverScript Insurance Company663526Agent - Health11/13/2021 
ActiveUnitedHealthcare Insurance Company300946Agent - Health12/28/2021 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health12/28/202112/22/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/28/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAcrisure South Insurance Services LLC1272242Agent - Casualty  
DeniedAcrisure South Insurance Services LLC1272242Agent - Life  
ActiveAcrisure South Insurance Services LLC1272242Agent - Health2/27/2025 
DeniedAcrisure South Insurance Services LLC1272242Agent - Property  

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