DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Freking, Lawrence J	DOIID	306738	NAIC NPN	276885

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/4/1992	6/30/2010
Inactive	Non Resident	Agent	Health	8/4/1992	6/30/2010
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/17/1999	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/17/1999	4/1/2007
Inactive	EMC National Life Company	300388	Agent - Health	8/11/2003	5/9/2005
Inactive	EMC National Life Company	300388	Agent - Life	8/11/2003	5/9/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	12/17/1999	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	12/17/1999	10/28/2008
Inactive	National Travelers Life Company	300304	Agent - Health	8/4/1992	6/30/2003
Inactive	National Travelers Life Company	300304	Agent - Life	8/4/1992	6/30/2003
Inactive	Physicians Life Insurance Company	300924	Agent - Life	7/15/2003	12/8/2006
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	7/15/2003	12/13/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/30/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/30/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/26/2001	1/24/2005
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	12/26/2001	1/24/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	8/29/1996	9/5/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/29/1996	9/5/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/25/2001	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/25/2001	6/11/2007
Inactive	West Coast Life Insurance Company	301607	Agent - Life	7/31/2006	5/27/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Independent Brokerage Network	505478	Agent - Life	4/21/2000	3/31/2010