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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

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