DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Taylor	DOIID	1264092	NAIC NPN	18975524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/22/2023		12/31/2024
Active	Non Resident	Agent	Life	3/22/2023		12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/3/2023
Active	CMFG Life Insurance Company	300929	Agent - Health	4/11/2023
Active	CMFG Life Insurance Company	300929	Agent - Life	4/11/2023
Inactive	Pacific Life Insurance Company	301848	Agent - Health	12/29/2023	1/3/2024
Inactive	Pacific Life Insurance Company	301848	Agent - Life	12/29/2023	1/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Huntington Investment Co The	633475	Agent - Life	4/18/2023