DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roof, David Harold	DOIID	308721	NAIC NPN	3183298

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/12/2013	3/1/2022
Inactive	Resident	Agent	Health	11/19/2013	3/1/2022
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/12/1999	7/1/2002
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/12/1999	7/1/2002
Inactive	American General Life Insurance Company	301585	Agent - Health	1/18/2016	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	1/18/2016	12/23/2019
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	2/2/2017	3/1/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/2/2017	3/1/2021
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/20/2015	9/5/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/17/2018	3/30/2020
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	11/21/2013	11/9/2021
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	11/21/2013	11/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	1/21/2014	11/9/2021
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	1/21/2014	11/9/2021