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DEPARTMENT OF INSURANCE
Affiliations
Name
Roth, Charles Clifford
DOIID
335174
NAIC NPN
1487927
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
5/20/1993
4/30/2025
Active
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
4/30/2025
Active
Resident
Agent
Life
5/20/1993
4/30/2025
Inactive
Resident
Agent
Health Maintenance Organization
5/27/1993
3/1/2001
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
02/15/2025
04/30/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
AF&L Insurance Company
301582
Agent - Health
9/9/2002
12/1/2006
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
10/25/2001
8/19/2011
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
10/25/2001
8/19/2011
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
4/28/2016
11/1/2017
Inactive
American General Life Insurance Company
301585
Agent - Health
3/7/2005
10/20/2011
Inactive
American General Life Insurance Company
301585
Agent - Life
3/7/2005
10/20/2011
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
3/7/2005
10/20/2011
Inactive
American National Insurance Company
301861
Agent - Health
10/10/2007
9/25/2019
Inactive
American National Insurance Company
301861
Agent - Life
10/10/2007
9/25/2019
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
5/1/2007
12/16/2013
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
4/9/2007
12/16/2013
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Variable Life and Variable Annuities
4/9/2007
12/16/2013
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Health
9/7/1994
5/1/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
9/7/1994
5/1/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Variable Life and Variable Annuities
5/31/2001
5/1/2007
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Health
11/9/1998
9/8/2011
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
11/9/1998
9/8/2011
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
4/1/2002
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
5/27/1993
3/1/2001
Inactive
Assurity Life Insurance Company
301099
Agent - Health
4/23/2023
12/16/2024
Inactive
Assurity Life Insurance Company
301099
Agent - Life
4/23/2023
12/16/2024
Active
Athene Annuity and Life Company
301893
Agent - Life
4/20/2022
Active
Banner Life Insurance Company
301696
Agent - Life
1/4/2021
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
3/10/2004
4/1/2007
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Health
5/18/2018
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Life
5/18/2018
Active
Clear Spring Life and Annuity Company
300919
Agent - Life
7/18/2016
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
9/17/1999
5/24/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
9/17/1999
5/24/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
6/29/2001
5/24/2006
Inactive
Conseco Health Insurance Company
301725
Agent - Health
11/26/2001
10/14/2003
Inactive
Conseco Health Insurance Company
301725
Agent - Life
11/26/2001
10/14/2003
Inactive
Continental Casualty Company
301019
Agent - Health
2/14/1998
10/30/2002
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Health
5/1/2000
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
5/1/2000
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Variable Life and Variable Annuities
3/21/2001
1/1/2004
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Health
11/14/2003
3/7/2012
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
11/14/2003
3/7/2012
Inactive
First Colony Life Insurance Company
301179
Agent - Life
6/25/2005
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
9/25/1997
12/23/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
9/25/1997
12/23/2008
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
5/12/2005
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
5/12/2005
Inactive
Genworth Life Insurance Company
300623
Agent - Health
10/23/2012
1/7/2014
Inactive
Genworth Life Insurance Company
300623
Agent - Life
10/23/2012
1/7/2014
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
8/23/2007
1/7/2014
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
10/1/2014
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
8/23/2007
1/7/2014
Inactive
Golden Rule Insurance Company
301943
Agent - Health
10/30/2001
11/8/2004
Inactive
Golden Rule Insurance Company
301943
Agent - Life
10/30/2001
11/8/2004
Inactive
Integrity Life Insurance Company
301687
Agent - Life
9/12/2006
12/8/2008
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
9/12/2006
12/8/2008
Active
Jackson National Life Insurance Company
300486
Agent - Life
4/17/2009
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
4/17/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
7/25/2006
4/2/2013
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
1/22/2002
4/2/2013
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
1/22/2002
4/2/2013
Inactive
Kansas City Life Insurance Company
301444
Agent - Health
7/18/2003
10/28/2008
Inactive
Kansas City Life Insurance Company
301444
Agent - Life
7/18/2003
10/28/2008
Active
Liberty Bankers Life Insurance Company
542461
Agent - Life
8/21/2023
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
12/14/2005
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
12/14/2005
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
12/14/2005
7/14/2014
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
3/4/2008
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
3/4/2008
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/4/2008
Inactive
Loyal American Life Insurance Company
301172
Agent - Health
1/18/2010
9/20/2010
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
1/18/2010
9/20/2010
Inactive
Manhattan Life Insurance Company
300880
Agent - Life
9/1/1994
3/31/1997
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Health
11/15/1999
12/31/2001
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
11/15/1999
12/31/2001
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
10/7/1994
1/22/2002
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Variable Life and Variable Annuities
2/19/2001
1/22/2002
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
1/18/2010
12/26/2012
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
1/18/2010
12/26/2012
Inactive
Medico Insurance Company
301559
Agent - Health
4/3/2003
6/13/2005
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
2/23/2009
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
2/23/2009
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
2/23/2009
11/14/2014
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
9/8/2005
12/7/2007
Active
Midland National Life Insurance Company
300923
Agent - Life
11/11/2018
Active
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
11/11/2018
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
12/2/2020
4/9/2024
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
12/2/2020
4/9/2024
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
12/2/2020
4/9/2024
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
2/10/2005
11/16/2006
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
2/10/2005
11/16/2006
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
2/10/2005
11/16/2006
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
8/17/2015
12/10/2018
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
8/17/2015
12/10/2018
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
8/11/2013
4/23/2019
Active
North American Company for Life and Health Insurance
300291
Agent - Life
5/21/2019
Inactive
Oxford Life Insurance Company
301079
Agent - Life
4/19/2018
12/13/2023
Active
Pacific Life Insurance Company
301848
Agent - Health
4/9/2012
Active
Pacific Life Insurance Company
301848
Agent - Life
8/4/2023
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/4/2023
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
10/22/1997
8/24/2000
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
10/22/1997
8/24/2000
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
5/23/2008
3/31/2009
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
5/23/2008
3/31/2009
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
2/21/2000
12/7/2004
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Variable Life and Variable Annuities
6/2/2003
12/7/2004
Inactive
Protective Life Insurance Company
300638
Agent - Health
1/28/2020
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Life
1/28/2020
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
1/28/2020
11/23/2023
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
11/27/1996
12/11/2002
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
11/27/1996
12/11/2002
Active
Pruco Life Insurance Company
300954
Agent - Health
12/19/2008
Active
Pruco Life Insurance Company
300954
Agent - Life
12/19/2008
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
12/19/2008
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
10/15/1997
9/20/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
10/15/1997
9/20/2004
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
7/11/2005
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
6/22/2009
2/27/2016
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
5/6/2008
11/12/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
12/23/2008
2/27/2016
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
12/23/2008
2/27/2016
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
12/23/2008
2/27/2016
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
9/23/1998
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
9/23/1998
10/1/2003
Inactive
Symetra Life Insurance Company
301691
Agent - Health
4/8/2015
9/15/2022
Inactive
Symetra Life Insurance Company
301691
Agent - Life
4/8/2015
9/15/2022
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
4/8/2015
9/15/2022
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
3/24/2005
12/23/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/24/2005
12/23/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/24/2005
12/23/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
8/30/1994
12/23/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
12/26/2014
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
12/26/2014
12/24/2015
Active
Transamerica Life Insurance Company
300571
Agent - Life
1/13/2003
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
1/13/2003
Inactive
Union Security Insurance Company
301844
Agent - Life
2/22/2000
12/17/2001
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
3/8/2010
12/26/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Variable Life and Variable Annuities
3/8/2010
12/26/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
5/1/2000
12/14/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
5/1/2000
10/19/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
5/31/2001
10/19/2012
Inactive
West Coast Life Insurance Company
301607
Agent - Health
6/12/2003
11/16/2011
Inactive
West Coast Life Insurance Company
301607
Agent - Life
6/12/2003
11/16/2011
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
4/14/2000
7/13/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Acordia of Louisville Inc.
401252
Agent - Health
5/26/1994
2/28/2003
Inactive
Acordia of Louisville Inc.
401252
Agent - Life
5/26/1994
2/28/2003
Inactive
Medlink Inc
400721
Agent - Health
5/20/1993
3/31/2024
Inactive
Medlink Inc
400721
Agent - Life
5/20/1993
3/31/2024
Active
Money Concepts Capital Corp.
399976
Agent - Health
10/17/2013
Active
Money Concepts Capital Corp.
399976
Agent - Life
10/17/2013
Active
Money Concepts Capital Corp.
399976
Agent - Variable Life and Variable Annuities
10/17/2013
Active
Money Concepts International Inc
656354
Agent - Health
10/21/2008
Active
Money Concepts International Inc
656354
Agent - Life
10/21/2008
Inactive
Retirement Care Services Inc.
400406
Agent - Health
8/6/1998
3/31/2021
Inactive
Retirement Care Services Inc.
400406
Agent - Life
8/6/1998
3/31/2021
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