DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, John Eric	DOIID	524617	NAIC NPN	5736802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	12/1/2003	7/1/2006
Inactive	Resident	Agent	Life	5/15/2002	7/1/2006
Inactive	Resident	Agent	Limited Line Credit	10/21/2003	1/31/2007
* 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	American General Assurance Company	300586	Agent - Limited Line Credit	5/29/2001	5/10/2002
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	5/24/2002	6/23/2003
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/15/2002	8/5/2003
Inactive	Keyport Life Insurance Company	300319	Agent - Life	5/20/2002	6/13/2003
Inactive	Merit Life Insurance Co.	300150	Agent - Health	12/1/2003	11/28/2005
Inactive	Merit Life Insurance Co.	300150	Agent - Life	6/11/2003	11/28/2005
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	10/21/2003	11/28/2005
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/16/2002	7/20/2003
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	5/15/2002	6/17/2003
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	5/9/2003	7/1/2006
Inactive	Western National Life Insurance Company	300461	Agent - Life	5/15/2002	9/10/2003
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	10/21/2003	11/28/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Huntington Life Insurance Agency, Inc.	551758	Agent - Life	8/12/2002	7/11/2003