DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Jerry E	DOIID	1297907	NAIC NPN	18028928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	9/12/2023		4/30/2025
Pending Replacement	Non Resident	Agent	Health	9/12/2023		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/22/2023	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	9/22/2023	4/17/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/17/2023	10/7/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/22/2023	4/17/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/17/2023	10/7/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/17/2023	10/7/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/2/2023	6/14/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/2/2023	6/14/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/2/2023	6/14/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/12/2023	5/3/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/2/2023	6/14/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/22/2023	4/17/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/22/2023	4/17/2025
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/29/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/17/2023	10/7/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2023	5/3/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2023	5/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	9/15/2023	4/22/2024
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	9/22/2023	4/22/2024