DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Larry Stephen	DOIID	336132	NAIC NPN	7185392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/23/1997	1/16/2002
Inactive	Resident	Agent	Life	10/6/2006	6/1/2016
* 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	American Memorial Life Insurance Company	301445	Agent - Life	11/8/2006	6/1/2016
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/4/1997	3/20/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/4/1997	3/20/1998
Inactive	Conseco Insurance Company	301202	Agent - Life	9/29/1995	11/4/1996
Inactive	Forethought Life Insurance Company	301407	Agent - Life	11/20/1995	7/24/2000
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	10/23/1997	2/14/2001
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	10/23/1997	2/14/2001
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	12/4/1997	5/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sentinel Security Plans Inc.	398097	Agent - Life	2/28/2005	5/31/2006
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	10/23/1997	3/21/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	10/23/1997	1/16/2002