DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, David	DOIID	627834	NAIC NPN	8640569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/9/2022	2/29/2024
* 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	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	10/12/2020	6/21/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/8/2022	2/29/2024
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/12/2020	6/21/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/6/2010	2/29/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/20/2010	2/29/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/8/2010	2/29/2012
Inactive	Life Insurance Company of North America	300711	Agent - Health	10/12/2020	6/21/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	United States Pharmaceutical Group LLC	620386	Agent - Health