DEPARTMENT OF INSURANCE
Affiliations
NameRoth, David MDOIID539749NAIC NPN1473753
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedNon ResidentAgentHealth10/18/20012/28/2005 
InactiveNon ResidentAgentVariable Life and Variable Annuities10/22/20012/28/2005 
InactiveNon ResidentAgentLife10/18/20012/28/2005 
* 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
InactiveC.M. Life Insurance Company301335Agent - Health11/21/200110/15/2004
InactiveC.M. Life Insurance Company301335Agent - Life11/21/200110/15/2004
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities11/21/200110/15/2004
InactiveEverlake Life Insurance Company300873Agent - Life1/1/20052/28/2005
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities1/1/20052/28/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Life11/19/20011/1/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities11/19/20011/1/2005
InactiveJackson National Life Insurance Company300486Agent - Life11/26/200110/6/2004
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/26/200110/6/2004
InactiveMML Bay State Life Insurance Company301198Agent - Health11/21/200110/16/2003
InactiveMML Bay State Life Insurance Company301198Agent - Life11/21/200110/16/2003
InactiveMML Bay State Life Insurance Company301198Agent - Variable Life and Variable Annuities11/21/200110/16/2003
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health11/21/200110/15/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life11/21/200110/15/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities11/21/200110/15/2004
InactiveNationwide Life Insurance Company300495Agent - Health12/17/20019/30/2004
InactiveNationwide Life Insurance Company300495Agent - Life12/17/20019/30/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/17/20019/30/2004
DeniedNationwide Life and Annuity Insurance Company300714Agent - Health  
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/17/20019/30/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities12/17/20019/30/2004
InactivePacific Life Insurance Company301848Agent - Life3/29/20022/28/2005
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/29/20022/28/2005
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life11/28/20012/28/2005
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities11/28/20012/28/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Health2/13/200211/24/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/13/200211/24/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities2/13/200211/24/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health2/13/200211/24/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life2/13/200211/24/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities2/13/200211/24/2004
InactiveWestern National Life Insurance Company300461Agent - Life11/9/200111/4/2004
InactiveWestern-Southern Life Assurance Company301590Agent - Health10/18/20019/30/2004
InactiveWestern-Southern Life Assurance Company301590Agent - Life10/18/20019/30/2004
InactiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities10/22/20019/30/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life4/27/20042/28/2005
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities4/27/20042/28/2005

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