DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, Jonathan Michael	DOIID	1115203	NAIC NPN	386916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/30/2020	8/31/2023
* 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	Pruco Life Insurance Company	300954	Agent - Life	12/31/2020	12/21/2022
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/31/2020	12/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Prudential Insurance Agency LLC	620187	Agent - Life	11/23/2021	12/21/2022