DEPARTMENT OF INSURANCE

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		10/31/2024
Active	Non Resident	Agent	Life	10/15/2020		10/31/2024
* 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	08/15/2024	10/31/2024

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
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/10/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/10/2021
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