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.
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 
InactiveCigna National Health Insurance Company300235Agent - Health8/6/200410/27/2006
InactiveCigna National Health Insurance Company300235Agent - Life8/6/200410/27/2006
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
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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