DEPARTMENT OF INSURANCE

Affiliations

Name	Frederick, Larry Wayne	DOIID	337429	NAIC NPN	3990094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
Inactive	Resident	Agent	Life	3/1/1988	7/1/2002
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2002
Inactive	Resident	Agent	Health	3/1/1988	7/1/2002
Inactive	Resident	Agent	General Lines	4/18/2000	8/15/2000
* 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	Ameribest Life Insurance Company	301390	Agent - Health	12/1/2000	7/1/2002
Inactive	Ameribest Life Insurance Company	301390	Agent - Life	12/1/2000	7/1/2002
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	4/16/1999	1/3/2001
Inactive	Countryway Insurance Company	300809	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Countryway Insurance Company	300809	Agent - General Lines	4/18/2000	8/15/2000
Inactive	Countryway Insurance Company	300809	Agent - Property	8/15/2000	7/1/2002
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/9/2000	7/1/2002
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/9/2000	7/1/2002
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/1/2000	7/1/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/5/2000	7/1/2002
Inactive	General Life Insurance Company	300652	Agent - Life	3/12/2001	4/1/2002
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	2/11/2000	9/11/2000
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	11/13/2000	6/7/2002
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/10/2000	9/27/2000
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/10/2000	9/27/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	5/15/2000	8/15/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	1/31/2001	7/1/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	1/31/2001	7/1/2002
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	9/17/1999	3/29/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	7/10/2000	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	10/9/2000	7/1/2002
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	10/9/2000	7/1/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/19/1990	7/1/2002
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/19/1990	7/1/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/4/2000	7/1/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	9/25/2000	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	12/26/2001
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	12/26/2001
Inactive	United American Insurance Company	300910	Agent - Health	10/11/1999	3/21/2000
Inactive	United American Insurance Company	300910	Agent - Life	10/11/1999	3/21/2000
Inactive	United Investors Life Insurance Company	301873	Agent - Life	11/29/1999	3/21/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Autoinsurance Network, Inc.	398917	Agent - General Lines	5/4/2000	8/15/2000
Inactive	Autoinsurance Network, Inc.	398917	Agent - Property	8/15/2000	5/9/2002
Inactive	Autoinsurance Network, Inc.	398917	Agent - Casualty	8/15/2000	5/9/2002
Inactive	Balanced Capital Services Inc.	399929	Agent - Life	3/1/1988	7/1/2002
Inactive	Balanced Capital Services Inc.	399929	Agent - Health	3/1/1988	7/1/2002