DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Roger L	DOIID	568036	NAIC NPN	1459798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	4/15/2003	2/28/2026
Active	Non Resident	Agent	Health	6/25/2019	2/28/2026
Active	Non Resident	Agent	Life	6/25/2019	2/28/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/17/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/17/2019
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/30/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	4/30/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/30/2020	10/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021	12/20/2022
Inactive	Athene Annuity and Life Company	301893	Agent - Variable Life and Variable Annuities	6/25/2003	8/4/2006
Active	Augustar Life Insurance Company	301816	Agent - Life	1/5/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	10/10/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/27/2019
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/27/2019
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	4/6/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021	12/20/2022
Inactive	Delaware Life Insurance Company	301256	Agent - Health	8/1/2019	11/21/2022
Inactive	Delaware Life Insurance Company	301256	Agent - Life	8/1/2019	11/21/2022
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	8/1/2019	11/21/2022
Active	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	4/29/2020
Active	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	6/20/2006
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	8/6/2019
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	8/6/2019
Inactive	Medico Insurance Company	301559	Agent - Health	5/6/2022	11/22/2022
Inactive	Medico Insurance Company	301559	Agent - Life	5/6/2022	11/22/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/20/2019	8/24/2020
Active	North American Company for Life and Health Insurance	300291	Agent - Life	9/29/2019
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	7/17/2020	12/28/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	3/30/2022
Active	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	3/30/2022
Active	Security Benefit Life Insurance Company	300583	Agent - Health	7/23/2019
Active	Security Benefit Life Insurance Company	300583	Agent - Life	7/23/2019
Active	Security Benefit Life Insurance Company	300583	Agent - Variable Life and Variable Annuities	7/23/2019
Active	SilverScript Insurance Company	663526	Agent - Health	9/17/2019
Inactive	United American Insurance Company	300910	Agent - Health	7/8/2019	11/21/2022
Inactive	United American Insurance Company	300910	Agent - Life	7/8/2019	8/10/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/20/2019	8/24/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/20/2019	8/24/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/15/2019	10/10/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/15/2019	10/10/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/15/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/15/2019	10/10/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/23/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/23/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Concourse Financial Group Securities, Inc.	554596	Agent - Variable Life and Variable Annuities	6/18/2007	3/23/2011
Inactive	Conservative Financial Solutions LLC	1030673	Agent - Variable Life and Variable Annuities	5/30/2019	6/4/2019
Active	Conservative Financial Solutions LLC	1030673	Agent - Life	6/27/2019
Active	Conservative Financial Solutions LLC	1030673	Agent - Health	6/27/2019