DEPARTMENT OF INSURANCE
Affiliations
NameLathram II, George RogerDOIID502092NAIC NPN7211019
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth12/18/2017 9/30/2025
ActiveResidentAgentCasualty12/18/2017 9/30/2025
ActiveResidentAgentLife12/18/2017 9/30/2025
ActiveResidentAgentProperty12/18/2017 9/30/2025
DeniedResidentAgentVariable Life and Variable Annuities   
DeniedResidentAgentPersonal Lines   
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health4/4/201410/1/2017
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/4/201410/1/2017
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/4/201410/1/2017
InactiveAmerican General Life Insurance Company301585Agent - Health6/28/200510/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Life6/28/200510/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities6/28/200510/25/2012
InactiveAmeritas Life Insurance Corporation300126Agent - Health7/13/201710/1/2017
InactiveAmeritas Life Insurance Corporation300126Agent - Life7/13/201710/1/2017
InactiveAmeritas Life Insurance Corporation300126Agent - Variable Life and Variable Annuities7/13/201711/1/2017
InactiveAmeritas Variable Life Insurance Company300665Agent - Life8/15/20031/24/2007
InactiveAmeritas Variable Life Insurance Company300665Agent - Variable Life and Variable Annuities8/15/20031/24/2007
InactiveAnthem Life Insurance Company301209Agent - Health8/29/200511/3/2016
InactiveAnthem Life Insurance Company301209Agent - Life8/29/200511/3/2016
InactiveAthene Annuity & Life Assurance Company301798Agent - Health6/20/20066/10/2011
InactiveAthene Annuity & Life Assurance Company301798Agent - Life6/20/20066/10/2011
InactiveAthene Annuity & Life Assurance Company301798Agent - Variable Life and Variable Annuities6/20/20066/10/2011
InactiveBanner Life Insurance Company301696Agent - Life4/12/201710/1/2017
InactiveBaptist Health Plan, Inc.300157Agent - Health8/29/200510/1/2017
InactiveBrighthouse Life Insurance Company301829Agent - Health6/5/20007/1/2002
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/201410/1/2017
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/201410/1/2017
InactiveCHA HMO, Inc.300662Agent - Health8/29/200512/10/2012
InactiveDelaware Life Insurance Company301256Agent - Life6/9/20007/1/2002
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities8/13/20017/1/2002
InactiveEquitable Financial Life Insurance Company300808Agent - Life11/18/201410/1/2017
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities11/18/201410/1/2017
DeniedEverlake Life Insurance Company300873Agent - Life  
DeniedEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities  
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health6/29/20063/10/2009
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life6/29/20063/10/2009
InactiveFirst Colony Life Insurance Company301179Agent - Health8/9/20017/1/2002
InactiveFirst Colony Life Insurance Company301179Agent - Life8/29/20051/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health10/25/20007/1/2002
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life10/25/20007/1/2002
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health12/6/200610/1/2017
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life12/6/200610/1/2017
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities12/6/200610/1/2017
InactiveGenworth Life Insurance Company300623Agent - Health7/29/200812/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life7/29/200812/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/20074/6/2009
InactiveHumana Health Plan, Inc.300142Agent - Health2/4/200612/19/2009
InactiveHumana Insurance Company301104Agent - Health2/4/200612/19/2009
InactiveHumana Insurance Company301104Agent - Life2/4/200612/19/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/4/200612/19/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/4/200612/19/2009
InactiveIndianapolis Life Insurance Company301381Agent - Life10/13/20067/31/2008
InactiveJackson National Life Insurance Company300486Agent - Life4/10/20197/15/2019
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/15/201610/1/2017
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/21/20067/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/21/20067/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities9/21/20067/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health9/21/20064/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life9/21/20064/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities9/21/20064/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health9/5/20036/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life9/5/20036/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities8/9/20017/1/2002
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health1/7/20104/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life1/7/20104/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities8/29/200511/9/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health8/9/20017/1/2002
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life9/5/200312/12/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities8/9/20017/1/2002
InactiveKeyport Life Insurance Company300319Agent - Life8/13/20017/1/2002
InactiveKeyport Life Insurance Company300319Agent - Variable Life and Variable Annuities8/13/20017/1/2002
InactiveLiberty Life Insurance Company301542Agent - Health6/7/20056/30/2006
InactiveLiberty Life Insurance Company301542Agent - Life6/7/20056/30/2006
InactiveLincoln Benefit Life Company301110Agent - Health12/10/20087/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life12/10/20087/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities12/10/20087/14/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/20/201710/22/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/20/201710/22/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/22/200710/24/2017
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life8/6/200112/31/2001
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Variable Life and Variable Annuities8/6/200112/31/2001
InactiveMetLife Investors USA Insurance Company300845Agent - Life8/19/200311/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities8/19/200311/14/2014
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health6/5/20007/1/2002
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life6/5/20007/1/2002
InactiveMinnesota Life Insurance Company300488Agent - Health12/4/200810/1/2017
InactiveMinnesota Life Insurance Company300488Agent - Life12/4/200810/1/2017
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities12/4/200810/1/2017
InactiveMutual of Omaha Insurance Company301012Agent - Health6/28/20126/24/2013
InactiveNationwide Life Insurance Company300495Agent - Health6/18/201510/1/2017
InactiveNationwide Life Insurance Company300495Agent - Life6/18/201510/1/2017
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities6/18/201510/1/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life4/27/20017/1/2002
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/27/20017/1/2002
InactiveNorthbrook Life Insurance Company301020Agent - Life 1/1/2003
InactiveNorthbrook Life Insurance Company301020Agent - Variable Life and Variable Annuities 1/1/2003
InactivePacific Life Insurance Company301848Agent - Life8/29/20051/2/2014
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/29/20051/2/2014
InactivePrincipal Life Insurance Company300129Agent - Life10/31/200512/8/2008
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities10/31/200512/8/2008
InactivePruco Life Insurance Company300954Agent - Health2/28/200510/1/2017
InactivePruco Life Insurance Company300954Agent - Life2/28/200510/1/2017
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/28/200510/1/2017
InactiveReliaStar Life Insurance Company301712Agent - Life9/19/20068/19/2009
InactiveRiverSource Life Insurance Company301952Agent - Health12/22/19996/12/2000
InactiveRiverSource Life Insurance Company301952Agent - Life12/22/19996/12/2000
InactiveSecurity Life of Denver Insurance Company300648Agent - Life9/19/20068/19/2009
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life12/18/20017/1/2002
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities12/18/20017/1/2002
InactiveTalcott Resolution Life Insurance Company301759Agent - Health10/1/20029/29/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Life10/1/20029/29/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities10/1/20029/29/2003
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health10/1/20029/29/2003
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life10/1/20029/29/2003
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities10/1/20029/29/2003
InactiveTransamerica Life Insurance Company300571Agent - Life4/17/201310/1/2017
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/17/201310/1/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/28/20126/24/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/28/20126/24/2013
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/22/20073/15/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities1/22/20073/15/2010
InactiveWest Coast Life Insurance Company301607Agent - Health11/18/200811/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life11/18/200811/16/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life8/3/20056/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/3/20056/23/2008
InactiveCreech And Stafford Insurance Agency Inc.400968Agent - Life4/25/201210/1/2017
InactiveCreech And Stafford Insurance Agency Inc.400968Agent - Health4/25/201210/1/2017
DeniedCreech And Stafford Insurance Agency Inc.400968Agent - Casualty  
DeniedCreech And Stafford Insurance Agency Inc.400968Agent - Property  
InactiveDesignated Agent Company Inc.681257Agent - Life6/30/200811/2/2016
InactiveDesignated Agent Company Inc.681257Agent - Health6/30/200811/2/2016
InactiveLathram & Associates, Inc.613269Agent - Life8/11/20053/31/2015
InactiveLathram & Associates, Inc.613269Agent - Health8/11/20053/31/2015
InactiveLathram & Associates, Inc.613269Agent - Variable Life and Variable Annuities8/23/20053/31/2015
InactiveMedlink Inc400721Agent - Life8/23/200510/1/2017
InactiveMedlink Inc400721Agent - Health8/23/200510/1/2017

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