DEPARTMENT OF INSURANCE
Affiliations
NameRoth, Michael TDOIID587645NAIC NPN254462
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth4/8/2004 1/31/2027
ActiveNon ResidentAgentLife4/8/2004 1/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202601/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAXIS Insurance Company301290Agent - Health5/13/202410/18/2024
ActiveAccendo Insurance Company300312Agent - Health7/25/2022 
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health6/11/2019 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health6/11/2019 
ActiveAetna Life Insurance Company301140Agent - Life6/11/2019 
ActiveAmerican General Life Insurance Company301585Agent - Health4/4/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life4/4/2023 
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life8/15/20055/10/2007
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life5/10/20045/8/2013
InactiveAthene Annuity and Life Company301893Agent - Life5/14/20094/22/2011
ActiveBankers Fidelity Assurance Company554627Agent - Health9/22/2015 
ActiveBankers Fidelity Assurance Company554627Agent - Life9/22/2015 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health9/15/2013 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life9/15/2013 
ActiveBanner Life Insurance Company301696Agent - Life3/28/2005 
ActiveCICA Life Insurance Company of America600487Agent - Life12/5/2023 
InactiveCSI Life Insurance Company596032Agent - Health11/24/201510/7/2020
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health8/20/20143/23/2016
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
InactiveDental Concern Inc. (The)301641Agent - Health9/28/201812/19/2019
InactiveEverest Reinsurance Company301836Agent - Health7/20/20186/24/2019
InactiveFamily Life Insurance Company300356Agent - Health6/17/20099/26/2016
InactiveGCU962873Agent - Life9/11/20201/9/2023
InactiveGlobe Life and Accident Insurance Company300639Agent - Health8/13/202112/19/2022
InactiveGlobe Life and Accident Insurance Company300639Agent - Life8/13/202112/19/2022
InactiveHealthSpring National Health Insurance Company300235Agent - Health8/6/200410/27/2006
InactiveHealthSpring National Health Insurance Company300235Agent - Life8/6/200410/27/2006
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/24/20164/24/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/24/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health9/28/201812/19/2019
InactiveHumana Insurance Company301104Agent - Health9/24/20164/24/2018
InactiveHumana Insurance Company301104Agent - Life9/24/20164/24/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/28/201812/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/28/201812/19/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health9/24/20164/24/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20164/24/2018
InactiveIndependent Life Insurance Company301831Agent - Health5/21/201812/19/2018
InactiveIndependent Life Insurance Company301831Agent - Life5/21/201812/19/2018
ActiveIndependent Order of Foresters300743Agent - Life10/24/2007 
InactiveIndividual Assurance Company Life Health & Accident300580Agent - Health5/14/201512/28/2016
InactiveIndividual Assurance Company Life Health & Accident300580Agent - Life5/14/201512/28/2016
InactiveJohn Hancock Life Insurance Company300821Agent - Health3/30/20056/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life3/30/20056/7/2008
InactiveKanawha Insurance Company300127Agent - Health8/20/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life8/20/201410/22/2015
ActiveMedMutual Life Insurance Company301047Agent - Health2/20/2025 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health1/6/2025 
InactiveOceanview Life and Annuity Company301868Agent - Life7/2/202012/28/2022
InactivePacifiCare Life and Health Insurance Company301304Agent - Health11/3/200511/4/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life11/3/20057/17/2012
ActivePekin Life Insurance Company300951Agent - Health11/7/2017 
ActivePekin Life Insurance Company300951Agent - Life11/7/2017 
ActiveReserve National Insurance Company301073Agent - Health8/22/2024 
InactiveShenandoah Life Insurance Company300130Agent - Health5/18/20049/3/2006
InactiveShenandoah Life Insurance Company300130Agent - Life5/18/20049/3/2006
ActiveSilverScript Insurance Company663526Agent - Health10/20/2019 
InactiveStonebridge Life Insurance Company301614Agent - Health5/30/201210/1/2015
InactiveStonebridge Life Insurance Company301614Agent - Life5/30/201210/1/2015
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20156/27/2017
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20156/27/2017
InactiveTransamerica Premier Life Insurance Company300558Agent - Health6/2/20065/15/2018
InactiveTransamerica Premier Life Insurance Company300558Agent - Life6/2/20065/15/2018
ActiveUnited Insurance Company of America300775Agent - Health8/22/2024 
InactiveUnited States Fire Insurance Company582240Agent - Health7/14/202112/27/2023
ActiveUnitedHealthcare Insurance Company300946Agent - Health3/18/2011 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/18/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/2015 
InactiveVenerable Insurance and Annuity Company301006Agent - Health6/17/20048/18/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Life6/17/20048/18/2009
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/30/2021
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveS I M Direct LLC983304Agent - Life2/5/20183/16/2023
InactiveS I M Direct LLC983304Agent - Health2/5/20183/16/2023
ActiveSenior Insurance Marketing, LLC773074Agent - Life1/20/2012 
ActiveSenior Insurance Marketing, LLC773074Agent - Health1/20/2012 

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