DEPARTMENT OF INSURANCE
Affiliations
NameFannin, Roger KeithDOIID365095NAIC NPN7198072
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities5/31/2001 8/31/2025
ActiveResidentAgentProperty8/15/2000 8/31/2025
ActiveResidentAgentHealth10/10/1996 8/31/2025
ActiveResidentAgentLife10/10/1996 8/31/2025
ActiveResidentAgentCasualty8/15/2000 8/31/2025
InactiveResidentAgentGeneral Lines10/10/19968/15/2000 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Heritage Life Insurance Company300272Agent - Health8/7/20008/14/2006
InactiveAmerican Heritage Life Insurance Company300272Agent - Life8/7/20008/14/2006
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty1/26/2023 
ActiveAmerican Modern Home Insurance Company300791Agent - Property1/26/2023 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty8/30/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property8/30/2019 
InactiveAssurity Life Insurance Company301099Agent - Health4/6/20061/22/2009
InactiveAssurity Life Insurance Company301099Agent - Life4/6/20061/22/2009
ActiveBerkshire Life Insurance Company of America300983Agent - Health1/21/2004 
ActiveBerkshire Life Insurance Company of America300983Agent - Life1/21/2004 
ActiveBristol West Insurance Company301655Agent - Casualty2/11/2008 
ActiveBristol West Insurance Company301655Agent - Property2/11/2008 
ActiveDairyland Insurance Company301370Agent - Casualty1/9/2012 
ActiveDairyland Insurance Company301370Agent - Property1/9/2012 
ActiveFB Insurance Company (The)301763Agent - Casualty8/15/2000 
InactiveFB Insurance Company (The)301763Agent - General Lines10/10/19968/15/2000
ActiveFB Insurance Company (The)301763Agent - Property8/15/2000 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/6/200412/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/6/200412/20/2023
InactiveGuardian Life Insurance Company of America301316Agent - Health1/21/200410/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life1/21/200410/5/2021
InactiveIllinois Mutual Life Insurance Company301479Agent - Health2/27/200811/9/2009
InactiveIllinois Mutual Life Insurance Company301479Agent - Life2/27/200811/9/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/24/200512/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life10/24/200512/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20086/8/2011
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/20086/8/2011
ActiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty8/15/2000 
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - General Lines10/10/19968/15/2000
ActiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property8/15/2000 
ActiveSouthern Farm Bureau Life Insurance Company300909Agent - Health10/10/1996 
ActiveSouthern Farm Bureau Life Insurance Company300909Agent - Life10/10/1996 
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Variable Life and Variable Annuities5/31/20015/10/2011
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/2/20116/23/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property5/2/20116/23/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health3/22/200611/8/2013
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - General Lines10/18/19968/15/2000
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Life10/18/1996 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Health10/18/1996 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Property8/15/2000 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Casualty8/15/2000 
InactiveRoger K. Fannin Insurance Inc.400795Agent - General Lines5/12/19998/15/2000
ActiveRoger K. Fannin Insurance Inc.400795Agent - Life5/12/1999 
ActiveRoger K. Fannin Insurance Inc.400795Agent - Health5/12/1999 
ActiveRoger K. Fannin Insurance Inc.400795Agent - Variable Life and Variable Annuities5/31/2001 
ActiveRoger K. Fannin Insurance Inc.400795Agent - Property8/15/2000 
ActiveRoger K. Fannin Insurance Inc.400795Agent - Casualty8/15/2000 
InactiveSouthern Capital Brokerage Co LLC577403Agent - Life10/4/20043/31/2007
InactiveSouthern Capital Brokerage Co LLC577403Agent - Health10/4/20043/31/2007

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