DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roemer, William A	DOIID	361567	NAIC NPN	968456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/7/1998	5/31/2009
Inactive	Non Resident	Agent	Health	4/7/1998	5/31/2009
* 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	Pacific Life Insurance Company	301848	Agent - Health	4/7/1998	5/31/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Life	4/7/1998	5/9/2003
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	10/1/2004	2/14/2005
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/1/2004	2/14/2005
Inactive	Southland Life Insurance Company	301175	Agent - Health	8/4/2000	10/1/2004
Inactive	Southland Life Insurance Company	301175	Agent - Life	8/4/2000	10/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	VTX Agency Inc.	398130	Agent - Life	7/21/1998	1/20/2004
Inactive	VTX Agency Inc.	398130	Agent - Health	7/21/1998	1/15/2004