DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hampton, Roger A	DOIID	807331	NAIC NPN	8653385

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/5/2013		8/31/2024
Active	Non Resident	Agent	Life	4/5/2013		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Combined Insurance Company of America	301472	Agent - Health	9/25/2020
Active	Combined Insurance Company of America	301472	Agent - Life	9/25/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/11/2013	12/17/2014
Inactive	Humana Insurance Company	301104	Agent - Health	4/11/2013	12/17/2014
Inactive	Humana Insurance Company	301104	Agent - Life	4/11/2013	12/17/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2013	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2013	5/4/2017
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	6/5/2017	12/11/2018
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	6/5/2017	12/11/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	12/8/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	12/8/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	12/8/2022
Active	Trustmark Insurance Company	300317	Agent - Health	7/14/2018
Active	Trustmark Insurance Company	300317	Agent - Life	7/14/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	12/8/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	12/8/2022
Active	Unum Insurance Company	301499	Agent - Health	12/8/2022
Active	Unum Insurance Company	301499	Agent - Life	12/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	3/20/2020
Active	Optavise, LLC	671337	Agent - Health	3/20/2020