black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PHILLIP M. ROEDER

PRODUCER NON-RESIDENT

License Number:
PRN186431
Status:
First Licensure:
01/18/2011
Cancel Date:
None

Mailing:
FINDLAY, OH 45840
Phone:
+1 (419) 897-9120 x1003
Fax:
+1 (419) 897-9130
Email:
philr1264@aol.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/18/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
NORTHWEST ENROLLX, LLC
04/15/2020 AGN352657
NORTHWEST WORKSITE MARKETING CORPORATION
02/02/2011 AGN186867 07/01/2017

Employer

Name Issue Date License Number Expiration Date Cancel Date
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
01/19/2011 LHF100
HUMANA INSURANCE COMPANY
04/01/2013 LHF980 07/14/2014

Authority

Description Issue Date Termination Date Status
LIFE 01/18/2011 Active

Responsible For

Name License Number
NORTHWEST ENROLLX, LLC AGN352657

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
967865

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/24/2025 08:20:47 PM