DEPARTMENT OF INSURANCE

Affiliations

Name	Latham, David Irwin	DOIID	303120	NAIC NPN	7157054

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	3/11/1997	3/1/2001
Inactive	Resident	Agent	Life	10/7/1994	10/31/2021
Inactive	Resident	Agent	General Lines	2/24/1997	8/15/2000
Inactive	Resident	Agent	Casualty	8/4/2000	10/31/2021
Inactive	Resident	Agent	Property	8/15/2000	10/31/2021
Inactive	Resident	Agent	Health	10/7/1994	10/31/2021
* 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	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	11/6/1997	12/13/1999
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	11/15/1996	1/17/1997
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/15/1996	1/17/1997
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	10/31/2021
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	10/31/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/17/2008	4/6/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/17/2008	4/6/2015
Inactive	American General Life Insurance Company	301585	Agent - Health	10/24/2011	12/20/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	10/24/2011	12/20/2013
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	10/20/2011
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	10/20/2011
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	12/6/2004
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/1/2003	4/5/2005
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/1/2003	4/5/2005
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	7/21/2008	5/8/2013
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	3/10/1997	3/31/1998
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	3/10/1997	3/31/1997
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	3/10/1997	3/31/1997
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/15/2007	10/31/2021
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	1/29/2007	12/15/2015
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	10/31/2021
Inactive	C.M. Life Insurance Company	301335	Agent - Health	4/22/2009	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	4/22/2009	11/12/2012
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/21/1997	7/22/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/21/1997	7/22/1999
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/1/2018	10/31/2021
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/1/2018	10/31/2021
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	4/30/2007	10/31/2021
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	4/30/2007	10/31/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/5/1997	3/31/1997
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/5/1997	3/31/1997
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	6/18/2007	7/26/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - General Lines	2/24/1997	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - General Lines	2/24/1997	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	10/20/2011
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/13/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/13/2007	12/7/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/3/2014	5/17/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	4/3/2014	5/17/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/3/2014	5/17/2015
Inactive	Grange Insurance Company	300234	Agent - Property	4/3/2014	5/17/2015
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/3/2014	5/17/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/3/2014	5/17/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/3/2014	5/17/2015
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	4/7/1997	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	4/7/1997	9/8/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	4/8/1997	4/12/1999
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	4/8/1997	4/12/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	6/3/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	6/3/2016
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/22/2009	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	4/22/2009	11/12/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/29/2008	11/23/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/18/2011	11/14/2014
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	8/21/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	8/21/1997	3/31/2001
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/27/2010	3/9/2017
Inactive	Owners Insurance Company	300796	Agent - General Lines	3/10/1997	3/31/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	1/14/1999	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	1/14/1999	8/24/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/21/2010	10/31/2021
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/21/2010	10/31/2021
Inactive	Principal National Life Insurance Company	301926	Agent - Life	11/2/2016	10/31/2021
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/6/2016	11/23/2017
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/6/2016	11/23/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/5/2007	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/5/2007	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/10/2009	12/24/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/10/2009	12/24/2018
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	6/26/2002	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	6/26/2002	9/16/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2008	8/21/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	10/31/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	2/24/1997	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	10/31/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	10/31/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	2/24/1997	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	10/31/2021
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	12/4/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/24/1997	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/4/2004
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/2/2008	8/21/2010
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/24/1997	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/24/1997	3/31/2009
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/12/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	5/9/1997	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/12/2004
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/21/2009	10/31/2021
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/21/2009	10/31/2021
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	8/2/2002	10/31/2021
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	8/2/2002	10/31/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Health	3/10/1997	5/28/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/10/1997	5/28/2019
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	6/2/2017	12/17/2020
Inactive	Time Insurance Company	300683	Agent - Health	2/12/2001	12/14/2004
Inactive	Time Insurance Company	300683	Agent - Life	2/12/2001	12/14/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	3/3/2000	6/4/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/3/2000	6/4/2007
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	4/3/2014	5/17/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	4/3/2014	5/17/2015
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/7/1994	1/17/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/11/2004	10/1/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/5/2007	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/5/2007	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	8/13/2010	1/12/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	8/13/2010	1/12/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/1/2010	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/1/2010	12/17/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/28/2009	12/12/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/28/2009	12/12/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/28/2009	12/12/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	3/11/1997	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/28/2009	12/12/2009
Inactive	West Coast Life Insurance Company	301607	Agent - Health	12/17/2007	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/17/2007	11/16/2011
Inactive		300277	Agent - Health	9/4/1998	2/3/2005
Inactive		300277	Agent - Life	9/4/1998	3/17/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	10/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	10/31/2021
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	1/17/1997
Inactive	Medlink Inc	400721	Agent - Life	1/1/2002	10/31/2021
Inactive	Medlink Inc	400721	Agent - Health	1/1/2002	10/31/2021
Inactive	Triad Insurance Agency Inc.	398921	Agent - Life	3/13/1997	10/31/2021
Inactive	Triad Insurance Agency Inc.	398921	Agent - Health	3/13/1997	10/31/2021
Inactive	Triad Insurance Agency Inc.	398921	Agent - General Lines	3/13/1997	8/15/2000
Inactive	Triad Insurance Agency Inc.	398921	Agent - Casualty	8/4/2000	10/31/2021
Inactive	Triad Insurance Agency Inc.	398921	Agent - Property	8/15/2000	10/31/2021