DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ballard, Lawrence William	DOIID	308406	NAIC NPN	1892315

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/11/2002	3/1/2016
Inactive	Resident	Agent	Health	3/11/2002	3/1/2016
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/11/2010	7/25/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/11/2010	7/25/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/22/2012	6/18/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/22/2012	6/18/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	3/11/2002	3/1/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	3/11/2002	3/1/2016
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	7/24/2009	3/1/2010
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	7/24/2009	3/1/2010
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	12/21/2010	7/1/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/27/2012	6/11/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	4/27/2012	6/11/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/20/2011	11/4/2011
Inactive	United American Insurance Company	300910	Agent - Health	1/6/2006	12/20/2006
Inactive	United American Insurance Company	300910	Agent - Life	1/6/2006	12/20/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/27/2012	6/11/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/20/2011	5/13/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/20/2011	5/13/2013

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	10/11/2010	7/25/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/11/2010	7/25/2013