DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosales, Haywood Robert	DOIID	977134	NAIC NPN	8489772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/25/2019	1/31/2021
Inactive	Non Resident	Agent	Life	1/25/2019	1/31/2021
Inactive	Non Resident	Agent	Property	11/20/2017	1/31/2021
Inactive	Non Resident	Agent	Casualty	11/20/2017	1/31/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/19/2019	1/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/27/2020	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/19/2019	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/19/2019	1/31/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/16/2019	3/1/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/16/2019	3/1/2021
Inactive	American National Insurance Company	301861	Agent - Life	2/28/2019	1/31/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/29/2019	1/31/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/29/2019	1/31/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/29/2019	1/31/2021
Inactive	National Casualty Company	301483	Agent - Casualty	11/21/2017	4/10/2018
Inactive	National Casualty Company	301483	Agent - Property	11/21/2017	4/10/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/22/2019	1/31/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/3/2019	11/10/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/3/2019	11/10/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/3/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/3/2019	10/1/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/16/2019	1/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/16/2019	1/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	11/21/2017	3/16/2018
Inactive	DVM Insurance Agency	636779	Agent - Casualty	11/21/2017	3/16/2018