DEPARTMENT OF INSURANCE

Affiliations

Name	Perry, Larry Dale	DOIID	334278	NAIC NPN	5954374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/25/2022	2/1/2024
Inactive	Resident	Agent	Life	4/25/2022	2/1/2024
* 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	6/28/2004	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/28/2004	11/21/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/25/2000	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/25/2000	12/10/2020
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	8/27/1993	3/31/1997
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	8/27/1993	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Health	2/25/1998	11/1/2004
Inactive	Continental General Insurance Company	300691	Agent - Life	2/25/1998	11/1/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	3/26/2003	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	3/26/2003	12/23/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	7/31/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	7/31/2009	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/14/2005	6/9/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/14/2005	6/9/2008
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/23/2002	12/10/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/23/2002	12/10/2004
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/12/2003	12/19/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/12/2003	12/19/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/4/2004	10/1/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/4/2004	10/1/2007
Inactive	Time Insurance Company	300683	Agent - Health	5/1/1990	9/16/2002
Inactive	Time Insurance Company	300683	Agent - Life	5/1/1990	9/16/2002
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/9/2019	1/31/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/9/2019	1/31/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/9/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/9/2019	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/11/2000	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/11/2000	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008	12/13/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/1/2010	12/13/2020
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	10/15/2004	1/31/2022
Inactive	Medlink Inc	400721	Agent - Health	2/1/2010	1/31/2022