DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	David, Roger D	DOIID	331091	NAIC NPN	1227879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Health		2/29/2004
Denied	Non Resident	Agent	Life		2/29/2004
* 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 General Life Insurance Company	301585	Agent - Life	11/6/1996	6/9/2003
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/28/1999	4/1/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/29/1997	1/6/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/29/1997	1/6/2004
Inactive	ING Insurance Company of America	301507	Agent - Life	12/28/1995	12/31/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	2/12/1996	1/28/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	2/12/1996	1/28/2004
Inactive	New England Life Insurance Company	300343	Agent - Health	12/11/1998	8/30/2002
Inactive	New England Life Insurance Company	300343	Agent - Life	12/11/1998	8/30/2002
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Health	9/22/1988	2/29/2004
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	9/22/1988	2/29/2004
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	2/5/1993	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Health	11/14/1998	11/21/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	11/14/1998	11/21/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	7/1/2002	4/11/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Edward D Jones & Co. Limited Partnership	398146	Agent - Life
Denied	Edward D Jones & Co. Limited Partnership	398146	Agent - Health