DEPARTMENT OF INSURANCE

Affiliations

Name	Roman, Andy	DOIID	923072	NAIC NPN	17596594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/25/2018	5/31/2026
Active	Non Resident	Agent	Life	10/25/2018	5/31/2026
* 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	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/1/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/1/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	5/1/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/1/2020	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	2/22/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	6/26/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/22/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/22/2020	4/15/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2019	3/18/2025
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/19/2017	5/31/2018
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/3/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	6/26/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/15/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/24/2016	5/15/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/5/2016	5/31/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/26/2020	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/24/2024	3/18/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/24/2016	5/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/4/2024	3/18/2025
Inactive	Humana Insurance Company	301104	Agent - Life	10/24/2016	5/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/24/2016	5/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/24/2016	5/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/30/2024	3/18/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/15/2017	5/15/2018
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	8/12/2019	10/22/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/3/2025
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/25/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/13/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/13/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/3/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/22/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	7/22/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	7/22/2020
Active	Ensurem II LLC	908041	Agent - Life	5/15/2019
Active	Ensurem II LLC	908041	Agent - Health	5/15/2019