DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, Jacob	DOIID	1352587	NAIC NPN	21138560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/29/2024		4/30/2026
Active	Non Resident	Agent	Health	7/29/2024		4/30/2026
* 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
Active	Accendo Insurance Company	300312	Agent - Life	11/26/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/26/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	8/1/2024	12/26/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/1/2024	12/26/2024
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	1/16/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	8/1/2024	12/26/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	8/1/2024	12/26/2024