DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Richard Kenneth	DOIID	316221	NAIC NPN	258753

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/5/1994	3/31/1997
Inactive	Non Resident	Agent	Life	5/5/1994	3/31/1997
* 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	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/5/1994	3/31/1997
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/5/1994	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	10/25/1995	8/22/1996
Inactive	Washington National Insurance Company	300587	Agent - Life	10/25/1995	8/22/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harvest Insurance Agency Inc. [The]	399952	Agent - Life	7/27/1994	3/31/1997
Inactive	Harvest Insurance Agency Inc. [The]	399952	Agent - Health	7/27/1994	3/31/1997