DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Donald L	DOIID	1105432	NAIC NPN	15784811

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/15/2020		10/31/2026
Active	Non Resident	Agent	Life	10/15/2020		10/31/2026
* 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 - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/3/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/3/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	11/3/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/10/2021	2/5/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/10/2021	2/5/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/10/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	3/12/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	3/12/2021
Active	Minnesota Life Insurance Company	300488	Agent - Health	8/6/2021
Active	Minnesota Life Insurance Company	300488	Agent - Life	8/6/2021
Active	SilverScript Insurance Company	663526	Agent - Health	11/3/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/11/2021	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/11/2021	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/13/2023
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/13/2023