DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Addington, Roger Shannon	DOIID	537437	NAIC NPN	6811406

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/13/2001	6/30/2003
Inactive	Resident	Agent	Health	11/13/2001	6/30/2003
* 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	Liberty Life Insurance Company	301542	Agent - Health	10/15/2001	4/17/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Life	10/15/2001	4/17/2003
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/9/2002	6/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/9/2002	6/30/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/13/2001	6/30/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/13/2001	6/30/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	1/25/2002	6/30/2003
Inactive	Medlink Inc	400721	Agent - Health	1/25/2002	6/30/2003