DEPARTMENT OF INSURANCE

Affiliations

Name	Lawrence, Donald Ray	DOIID	312974	NAIC NPN	629964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/5/2009	12/15/2014
Inactive	Resident	Agent	Life	3/5/2009	12/15/2014
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/8/2011	12/24/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/8/2011	12/24/2013
Inactive	American Continental Insurance Company	643130	Agent - Health	2/21/2014	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	6/4/2012	2/17/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	1/26/2011	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	1/26/2011	10/25/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/22/2013	12/15/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/22/2013	12/15/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/1/2010	6/13/2011
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	4/27/2010	5/8/2013
Inactive	Athene Annuity and Life Company	301893	Agent - Life	5/28/2010	9/6/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	11/20/2009	5/7/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	11/20/2009	5/7/2010
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	3/30/2010	12/15/2014
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	12/15/2009	5/7/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	12/15/2009	5/7/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	7/14/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/24/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/24/2010	6/11/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/4/2012	11/10/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/4/2012	12/15/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/12/2010	5/10/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/7/2010	7/14/2014
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/29/2012	12/15/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/12/2010	5/10/2010
Inactive	Forethought Life Insurance Company	301407	Agent - Health	9/23/2011	3/6/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	9/23/2011	3/6/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/15/2014	12/15/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/15/2014	12/15/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/13/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/13/2009	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/10/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/10/2010	12/26/2012
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/28/2010	10/2/2012
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/28/2010	10/2/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	7/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/7/2010	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	12/7/2010	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	12/7/2010	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/7/2010	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/7/2010	7/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/26/2011	7/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/26/2011	7/14/2014
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/13/2014	12/15/2014
Inactive	Medico Insurance Company	301559	Agent - Health	4/22/2010	12/26/2012
Inactive	Medico Insurance Company	301559	Agent - Life	4/22/2010	12/26/2012
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	8/26/2014	12/15/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	8/26/2014	12/15/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/17/2014	12/15/2014
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	6/27/2010	12/13/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	6/27/2010	12/13/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	5/17/2012	7/22/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	6/23/2010	11/3/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	6/27/2010	3/31/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	6/27/2010	3/31/2013
Inactive	SILAC Insurance Company	300535	Agent - Health	4/3/2013	12/15/2014
Inactive	SILAC Insurance Company	300535	Agent - Life	4/3/2013	12/15/2014
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/21/2011	11/30/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/31/2011	12/15/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/16/2011	12/15/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/16/2011	12/15/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/16/2011	12/15/2014
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Health	8/15/2012	12/15/2014
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Life	8/15/2012	12/15/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/6/2010	10/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/6/2010	10/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/23/2010	12/15/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	12/15/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	5/20/2010	12/15/2014
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	5/20/2010	12/15/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/22/2013	12/15/2014