DEPARTMENT OF INSURANCE

Affiliations

Name	Short, Roger Dale	DOIID	730097	NAIC NPN	15805276

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	7/3/2024	4/30/2026
Active	Resident	Agent	Health	7/3/2024	4/30/2026
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	5/1/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/24/2020	5/1/2024
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/6/2020	11/22/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	9/24/2020	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	10/16/2017	1/23/2019
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	4/3/2013	9/3/2019
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	10/7/2016	5/1/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	11/5/2021	5/23/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/14/2020	5/1/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/14/2020	5/1/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/9/2012	12/8/2014
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/7/2010	5/8/2013
Inactive	Athene Annuity and Life Company	301893	Agent - Life	6/30/2017	5/1/2024
Inactive	Columbian Life Insurance Company	300810	Agent - Life	6/6/2018	5/1/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/24/2020	5/1/2024
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/29/2017	5/1/2024
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/20/2011	7/27/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/8/2016	5/1/2024
Inactive	Great Western Insurance Company	501693	Agent - Life	3/6/2019	4/23/2024
Inactive	Humana Insurance Company	301104	Agent - Health	8/7/2020	6/14/2022
Inactive	Independent Order of Foresters	300743	Agent - Life	10/5/2010	5/1/2024
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	10/3/2017	12/20/2022
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	3/21/2024	5/1/2024
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	3/28/2013	5/1/2024
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	9/27/2017	4/9/2024
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	4/9/2015	7/31/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/16/2017	5/1/2024
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	8/23/2012	12/12/2013
Inactive	Oxford Life Insurance Company	301079	Agent - Life	2/20/2014	1/20/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/1/2018	11/25/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/24/2012	2/27/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	8/9/2019	5/24/2021
Inactive	Royal Neighbors of America	301646	Agent - Life	8/13/2010	10/29/2015
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	6/30/2017	5/1/2024
Inactive	Texas Life Insurance Company	300345	Agent - Life	5/2/2011	12/17/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020	5/1/2024
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/28/2019	10/1/2020
Inactive	United Home Life Insurance Company	300421	Agent - Life	10/16/2014	5/1/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/1/2018	5/24/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Advance Team Partners, LLC	868488	Agent - Life	2/10/2015	5/1/2024
Inactive	Advance Team Partners, LLC	868488	Agent - Health	7/27/2020	5/1/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/16/2020	5/1/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/16/2020	5/1/2024