DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Lawrence W	DOIID	332412	NAIC NPN	1496586

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	5/31/2015
Inactive	Non Resident	Agent	General Lines	9/23/1993	8/15/2000
Inactive	Non Resident	Agent	Health	2/24/2012	5/31/2015
Inactive	Non Resident	Agent	Property	8/15/2000	5/31/2015
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	8/24/2011	3/6/2015
Inactive	Aegis Security Insurance Company	300492	Agent - Property	8/24/2011	3/6/2015
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	4/6/2010	5/31/2015
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/6/2010	5/31/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/6/2010	5/31/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/6/2010	5/31/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/6/2010	5/31/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/6/2010	5/31/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/6/2010	5/31/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/6/2010	5/31/2015
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/12/2012	5/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/12/2012	5/31/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/3/2012	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/3/2012	9/3/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/13/2010	5/26/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/13/2010	5/26/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/30/2013	5/31/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/30/2013	5/31/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/30/2013	5/31/2015
Inactive	Grange Insurance Company	300234	Agent - Property	8/30/2013	5/31/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/30/2013	5/31/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/30/2013	5/31/2015
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	12/2/1996	3/31/1998
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	12/2/1996	3/31/1998
Inactive	Great American Spirit Insurance Company	300233	Agent - General Lines	12/2/1996	3/31/1998
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	3/24/2005	5/31/2015
Inactive	Hallmark National Insurance Company	300494	Agent - Property	3/24/2005	5/31/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	9/30/2002	10/3/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	9/30/2002	10/3/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	9/30/2002	10/3/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	9/30/2002	10/3/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	9/30/2002	10/3/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	9/30/2002	10/3/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	9/30/2002	10/3/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	9/30/2002	10/3/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/30/2002	10/3/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	9/30/2002	10/3/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/3/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/3/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/3/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/3/2012	9/3/2013
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	2/6/2007	5/31/2015
Inactive	Meridian Security Insurance Company	300423	Agent - Property	2/6/2007	5/31/2015
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	10/2/2002
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	4/29/1998	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	10/2/2002
Inactive	Omni Indemnity Company	301456	Agent - Casualty	9/30/2002	12/10/2008
Inactive	Omni Indemnity Company	301456	Agent - Property	9/30/2002	12/10/2008
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/15/2000	5/31/2015
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	9/23/1993	8/15/2000
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/15/2000	5/31/2015
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	5/31/2015
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	9/23/1993	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	5/31/2015
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	9/30/2002	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	9/30/2002	11/5/2008
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/30/2013	5/31/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/30/2013	5/31/2015
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	9/30/2002	10/3/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	9/30/2002	10/3/2006
Inactive	Western Surety Company	300283	Agent - Casualty	6/3/2014	2/27/2015
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	10/2/2002
Inactive	Westfield Insurance Company	301950	Agent - General Lines	6/16/1998	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	10/2/2002
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	10/14/2002
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	1/24/1997	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	10/14/2002

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 - Health	3/12/2012	5/31/2015
Inactive	L Cook Ins Agency Inc	609007	Agent - Property	7/19/2011	5/31/2015
Inactive	L Cook Ins Agency Inc	609007	Agent - Casualty	7/19/2011	5/31/2015