DEPARTMENT OF INSURANCE

Affiliations

Name	Fry, Lawrence C	DOIID	304721	NAIC NPN	2518453

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	3/19/1997	3/8/2000
Inactive	Non Resident	Agent	Health	10/10/2007	8/31/2012
Inactive	Non Resident	Agent	Life	10/10/2007	8/31/2012
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/25/2000	10/31/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/25/2000	10/31/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	8/17/1999	3/8/2000
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/17/1999	3/8/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/23/1999	6/14/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/23/1999	6/14/2000
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/21/1999	3/29/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/21/1999	3/29/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/5/2001	4/10/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	7/5/2001	4/10/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Health	7/30/2001	6/26/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	7/30/2001	6/26/2003
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/28/2005	8/31/2006
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/24/2003	8/31/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	10/21/1999	8/31/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/21/1999	1/6/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/13/1999	8/31/2006
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/1/1999	8/31/2006
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/1/1999	8/31/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/29/2010	8/31/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/29/2010	8/31/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	1/8/1998	7/30/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/3/2010	3/30/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/19/1997	7/30/1999
Inactive	Humana Insurance Company	301104	Agent - Health	5/3/2010	3/30/2011
Inactive	Humana Insurance Company	301104	Agent - Life	5/3/2010	3/30/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/3/2010	3/30/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/3/2010	3/30/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/3/2010	3/30/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/3/2010	3/30/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Health	11/2/2005	8/31/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	11/2/2005	8/31/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/3/2010	3/30/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/3/2010	3/30/2011
Inactive	Medico Insurance Company	301559	Agent - Health	8/25/2009	2/8/2011
Inactive	Medico Insurance Company	301559	Agent - Life	8/25/2009	2/8/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/12/2004	8/31/2006
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/13/2006	8/31/2006
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	3/13/2006	8/31/2006
Inactive	Physicians Life Insurance Company	300924	Agent - Life	6/29/2001	11/26/2001
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	6/29/2001	11/26/2001
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/29/2003	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/29/2003	9/3/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/21/2000	8/31/2006
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/21/2000	8/31/2006
Inactive	Time Insurance Company	300683	Agent - Health	9/12/2001	5/17/2002
Inactive	Time Insurance Company	300683	Agent - Life	9/12/2001	5/17/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	10/1/1991	12/31/1998
Inactive	Union Security Insurance Company	301844	Agent - Life	10/1/1991	12/31/1998
Inactive	United American Insurance Company	300910	Agent - Health	3/7/2000	6/20/2000
Inactive	United American Insurance Company	300910	Agent - Life	3/7/2000	6/20/2000
Inactive	United World Life Insurance Company	300532	Agent - Health	5/31/2005	8/31/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/12/2004	8/31/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/12/2004	8/31/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/14/2007	11/17/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/15/2007	8/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/3/1999	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/3/1999	2/28/2003
Inactive	Medlink Inc	400721	Agent - Life	2/4/2004	3/22/2004
Inactive	Medlink Inc	400721	Agent - Health	2/4/2004	3/22/2004