DEPARTMENT OF INSURANCE

Affiliations

Name	A. Roberts & Associates Inc.	DOIID	400448	NAIC NPN	3318917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	3/19/1993		3/31/2027
Active	Resident	Agent	Life	5/17/1993		3/31/2027
Inactive	Resident	Agent	Health Maintenance Organization	2/4/1994	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/15/2025	01/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	9/2/2003	9/30/2011
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	10/12/2018
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	6/13/2019	4/16/2024
Inactive	American General Assurance Company	300586	Agent - Health	10/11/2002	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	10/11/2002	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Health	2/17/2011
Active	American General Life Insurance Company	301585	Agent - Life	2/17/2011
Inactive	American National Insurance Company	301861	Agent - Health	5/20/2010	5/25/2021
Active	American National Insurance Company	301861	Agent - Life	5/20/2010
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	3/23/2004	10/31/2006
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/30/2014	7/17/2020
Inactive	Athene Annuity and Life Company	301893	Agent - Life	6/1/2018	12/6/2021
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	2/3/1994	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	2/3/1994	12/31/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/21/2015	9/24/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/21/2015	9/24/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	5/17/1993	4/15/2005
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	5/17/1993	4/15/2005
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	8/27/2015
Active	Delaware Life Insurance Company	301256	Agent - Life	2/2/2018
Inactive	EMC National Life Company	300388	Agent - Health	8/6/2003	2/16/2005
Inactive	EMC National Life Company	300388	Agent - Life	8/6/2003	2/16/2005
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	11/8/2013	6/4/2015
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	11/8/2013	6/4/2015
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/12/2014
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/12/1994	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/4/2000	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/4/2000	12/12/2008
Active	Forethought Life Insurance Company	301407	Agent - Health	10/30/2018
Active	Forethought Life Insurance Company	301407	Agent - Life	10/30/2018
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	9/2/2016	2/14/2023
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	9/2/2016	2/14/2023
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	4/21/2015	12/6/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/21/2015	12/6/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/21/2015	12/6/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	12/19/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/4/1994	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	7/18/1994	12/19/2009
Inactive	Humana Insurance Company	301104	Agent - Life	7/18/1994	12/19/2009
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	8/14/2022
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	3/19/1993	9/29/2000
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/27/2015	3/9/2020
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	10/6/2003	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	10/6/2003	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	2/29/1996	3/5/2001
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	2/29/1996	3/5/2001
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/9/2002	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/2/2021
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	4/10/2007
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	4/10/2007
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/13/1993	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/13/1993	3/31/1997
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	5/2/2000	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	5/2/2000	7/14/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/26/2000
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/26/2000
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/8/2011	11/21/2020
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	8/18/1994	4/15/2005
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	8/18/1994	4/15/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/6/1995	11/18/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/6/1995	11/18/2008
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	10/16/2000	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/16/2000	3/12/2002
Inactive	Nassau Life Insurance Company	301406	Agent - Health	1/5/1996	12/2/2008
Inactive	Nassau Life Insurance Company	301406	Agent - Life	1/5/1996	12/2/2008
Active	National Guardian Life Insurance Company	300596	Agent - Life	6/15/2017
Inactive	National Travelers Life Company	300304	Agent - Health	2/26/2001	8/6/2003
Inactive	National Travelers Life Company	300304	Agent - Life	2/26/2001	8/6/2003
Active	National Western Life Insurance Company	301515	Agent - Life	7/22/2010
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	6/17/2015
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/17/2015
Active	Pacific Life Insurance Company	301848	Agent - Health	1/30/2025
Active	Pacific Life Insurance Company	301848	Agent - Life	1/30/2025
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	5/30/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	5/30/2000	12/11/2002
Active	Penn Insurance and Annuity Company	300712	Agent - Life	8/4/2023
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	8/4/2023
Active	Principal Life Insurance Company	300129	Agent - Health	6/16/2009
Active	Principal Life Insurance Company	300129	Agent - Life	6/16/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/21/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/23/2000	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/30/2000	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/1/2019	11/25/2020
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/4/2002	9/3/2004
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/4/2002	9/3/2004
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/28/2003
Active	ReliaStar Life Insurance Company	301712	Agent - Health	10/17/2002
Active	ReliaStar Life Insurance Company	301712	Agent - Life	10/17/2002
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	2/2/2011	1/23/2015
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	8/31/2016
Active	Security Benefit Life Insurance Company	300583	Agent - Life	8/28/2013
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	6/4/2004	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	6/4/2004	3/31/2009
Active	Symetra Life Insurance Company	301691	Agent - Health	9/8/2023
Active	Symetra Life Insurance Company	301691	Agent - Life	9/8/2023
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	6/8/1995	11/10/2016
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	6/8/1995	11/10/2016
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	10/16/2000	11/10/2016
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	10/16/2000	11/10/2016
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	1/22/2015	11/29/2018
Inactive	Transamerica Assurance Company	300893	Agent - Health	3/23/2000	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	3/23/2000	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/14/2004	11/21/2013
Active	Transamerica Life Insurance Company	300571	Agent - Life	5/16/2019
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	11/12/2002	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	11/12/2002	10/1/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/4/2000	9/12/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/4/2000	9/12/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/24/2000	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/24/2000	12/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/24/1995	5/18/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/24/1995	5/18/2005
Inactive		300277	Agent - Life	12/20/2000	1/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Campbell, Robert Darrell	326735	Agent - Health	3/17/1993	11/2/2016
Inactive	Campbell, Robert Darrell	326735	Agent - Life	3/17/1993	11/2/2016
Inactive	Caulk, Robert D	322980	Agent - Health	3/17/1993	7/1/2019
Inactive	Caulk, Robert D	322980	Agent - Life	3/17/1993	7/1/2019
Inactive	Eastridge, Bobby Arlin	370819	Agent - Health	3/17/1993	6/22/2008
Inactive	Eastridge, Bobby Arlin	370819	Agent - Life	3/17/1993	6/22/2008
Inactive	Hardison, Jerry Lee	333432	Agent - Health	4/1/1994	10/1/2018
Inactive	Hardison, Jerry Lee	333432	Agent - Life	4/1/1994	10/1/2018
Inactive	Helton, Warren Carl	373862	Agent - Health	2/7/1994	1/31/2016
Inactive	Helton, Warren Carl	373862	Agent - Life	2/7/1994	1/31/2016
Inactive	Kiray, Edward W	390155	Agent - Health	3/17/1993	12/1/2000
Inactive	Kiray, Edward W	390155	Agent - Life	3/17/1993	12/1/2000
Inactive	Lambert, Frances Smith	353310	Agent - Health	10/20/1993	7/1/2013
Inactive	Lambert, Frances Smith	353310	Agent - Life	10/20/1993	7/1/2013
Inactive	Latta, Thomas Morehead	307042	Agent - Health	1/26/1994	9/1/2009
Inactive	Latta, Thomas Morehead	307042	Agent - Life	1/26/1994	9/1/2009
Active	Latta, William Shelby	307043	Agent - Health	1/26/1994
Active	Latta, William Shelby	307043	Agent - Life	1/26/1994
Inactive	Meadows, Trafton Coy	316377	Agent - Health	6/15/1994	7/1/1996
Inactive	Meadows, Trafton Coy	316377	Agent - Life	6/15/1994	7/1/1996
Inactive	Roberts, Anthony Scott	332520	Agent - Health	3/10/1993	2/1/2020
Inactive	Roberts, Anthony Scott	332520	Agent - Life	3/10/1993	2/1/2020