DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Segal, Roman I	DOIID	1166208	NAIC NPN	18416606

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/13/2021	4/30/2024
* 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	8/29/2023	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/11/2021	4/30/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/29/2023	4/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/11/2021	4/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/11/2021	4/30/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/5/2023	3/15/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/29/2023	4/30/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/25/2022	4/30/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/11/2021	4/30/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/13/2021	11/4/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/13/2021	11/4/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/13/2021	11/4/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/13/2021	11/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/18/2023	4/30/2024
Inactive	Trubridge Inc	717747	Agent - Health	5/18/2022	12/5/2022