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DEPARTMENT OF INSURANCE
Affiliations
Name
Roth Sr, John Robert
DOIID
377498
NAIC NPN
1463733
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
General Lines
4/6/1999
8/15/2000
Inactive
Resident
Agent
Health
1/3/2007
5/1/2009
Inactive
Resident
Agent
Casualty
1/3/2007
5/1/2009
Inactive
Resident
Agent
Life
1/3/2007
5/1/2009
Inactive
Resident
Agent
Property
1/3/2007
5/1/2009
Inactive
Resident
Agent
Variable Life and Variable Annuities
1/3/2007
5/1/2009
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Fidelity Assurance Company
301004
Agent - Health
10/4/1999
12/22/2004
Inactive
American Fidelity Assurance Company
301004
Agent - Life
10/4/1999
12/22/2004
Inactive
Assurance Company of America
300432
Agent - Casualty
8/15/2000
7/1/2006
Inactive
Assurance Company of America
300432
Agent - General Lines
5/19/2000
8/15/2000
Inactive
Assurance Company of America
300432
Agent - Property
8/15/2000
7/1/2006
Inactive
Bankers United Life Assurance Company
300296
Agent - Health
5/1/2000
12/31/2001
Inactive
Bankers United Life Assurance Company
300296
Agent - Life
5/1/2000
12/31/2001
Inactive
Central States Health and Life Company of Omaha
301874
Agent - Health
9/25/1997
12/31/1998
Inactive
Central States Health and Life Company of Omaha
301874
Agent - Life
9/25/1997
12/31/1998
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
2/22/2001
6/28/2002
Inactive
Farmers Insurance Exchange
300336
Agent - Casualty
8/15/2000
7/1/2006
Inactive
Farmers Insurance Exchange
300336
Agent - General Lines
5/19/2000
8/15/2000
Inactive
Farmers Insurance Exchange
300336
Agent - Property
8/15/2000
7/1/2006
Inactive
First Colony Life Insurance Company
301179
Agent - Life
6/2/1993
7/19/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
8/1/1997
7/1/2006
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
8/1/1997
7/1/2006
Inactive
Glatfelter Insurance Company
301640
Agent - Casualty
8/15/2000
7/1/2006
Inactive
Glatfelter Insurance Company
301640
Agent - General Lines
5/19/2000
8/15/2000
Inactive
Glatfelter Insurance Company
301640
Agent - Property
8/15/2000
7/1/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
8/6/1997
7/1/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
8/6/1997
7/1/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
8/21/1997
7/1/2006
Inactive
Life Investors Insurance Company of America
301793
Agent - Health
12/31/2001
8/28/2003
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
12/31/2001
8/28/2003
Inactive
MONY Life Insurance Company
301141
Agent - Health
3/31/2000
6/28/2002
Inactive
MONY Life Insurance Company
301141
Agent - Life
3/31/2000
6/28/2002
Inactive
Maryland Casualty Company
301719
Agent - Casualty
8/15/2000
7/1/2006
Inactive
Maryland Casualty Company
301719
Agent - General Lines
5/19/2000
8/15/2000
Inactive
Maryland Casualty Company
301719
Agent - Property
8/15/2000
7/1/2006
Inactive
Meridian Mutual Insurance Company
301303
Agent - Casualty
8/15/2000
6/1/2001
Inactive
Meridian Mutual Insurance Company
301303
Agent - General Lines
4/6/1999
8/15/2000
Inactive
Meridian Mutual Insurance Company
301303
Agent - Property
8/15/2000
6/1/2001
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Health
1/15/1999
4/12/2000
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Life
1/15/1999
4/12/2000
Inactive
New York Life Insurance Company
300431
Agent - Health
1/15/1999
4/12/2000
Inactive
New York Life Insurance Company
300431
Agent - Life
1/15/1999
4/12/2000
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
1/15/1999
4/12/2000
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
1/15/1999
4/12/2000
Inactive
Northern Insurance Company of New York
301317
Agent - Casualty
8/15/2000
7/1/2006
Inactive
Northern Insurance Company of New York
301317
Agent - General Lines
5/19/2000
8/15/2000
Inactive
Northern Insurance Company of New York
301317
Agent - Property
8/15/2000
7/1/2006
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
3/30/1998
2/25/2003
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
3/30/1998
2/25/2003
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Casualty
6/1/2001
3/15/2004
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Property
6/1/2001
3/15/2004
Inactive
Transamerica Assurance Company
300893
Agent - Health
5/1/2000
10/1/2004
Inactive
Transamerica Assurance Company
300893
Agent - Life
5/1/2000
10/1/2004
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
7/6/2004
7/1/2006
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
7/6/2004
7/1/2006
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
7/11/2000
7/1/2006
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
7/11/2000
7/1/2006
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
2/26/2001
7/8/2005
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
2/26/2001
7/8/2005
Inactive
Western and Southern Life Insurance Company
301744
Agent - Health
4/5/1995
8/4/1997
Inactive
Western and Southern Life Insurance Company
301744
Agent - Life
4/5/1995
8/4/1997
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
4/5/1995
8/4/1997
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
4/5/1995
8/4/1997
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Johnson-Lawrence-Walker Insurance Agency Inc.
399168
Agent - Life
2/24/2004
7/1/2006
Inactive
Johnson-Lawrence-Walker Insurance Agency Inc.
399168
Agent - Health
2/24/2004
7/1/2006
Inactive
Johnson-Lawrence-Walker Insurance Agency Inc.
399168
Agent - Property
2/24/2004
7/1/2006
Inactive
Johnson-Lawrence-Walker Insurance Agency Inc.
399168
Agent - Casualty
2/24/2004
7/1/2006
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