DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott, Larry Dewayne	DOIID	342202	NAIC NPN	1490403

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	7/29/1980	8/15/2000
Inactive	Resident	Agent	Life	7/24/1980	10/1/2019
Inactive	Resident	Agent	Health	7/24/1980	10/1/2019
Inactive	Resident	Agent	Property	8/15/2000	10/1/2019
Inactive	Resident	Agent	Casualty	8/15/2000	10/1/2019
* 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	Aetna Health and Life Insurance Company	300523	Agent - Health	7/14/2016	10/1/2019
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	12/13/2011	12/29/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/18/2015	10/1/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/18/2015	10/1/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017	4/10/2018
Inactive	Arch Insurance Company	300688	Agent - General Lines	5/22/1990	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	10/23/2003
Inactive	Assurance Company of America	300432	Agent - General Lines	3/7/2000	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	10/23/2003
Inactive	Athene Annuity and Life Company	301893	Agent - Life	12/12/2011	10/30/2013
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	2/8/2017	12/5/2017
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	2/8/2017	12/5/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	8/13/2015	12/5/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	8/13/2015	12/5/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	9/25/2015	3/31/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/18/2015	12/8/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	10/1/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/30/2016	12/13/2016
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	8/15/2000	1/13/2004
Inactive	Farmers Insurance Exchange	300336	Agent - General Lines	3/7/2000	8/15/2000
Inactive	Farmers Insurance Exchange	300336	Agent - Property	8/15/2000	12/1/2003
Inactive	Federated Life Insurance Company	301196	Agent - Health	7/24/1980	1/14/2010
Inactive	Federated Life Insurance Company	301196	Agent - Life	7/24/1980	1/14/2010
Inactive	Federated Mutual Insurance Company	301106	Agent - Casualty	8/15/2000	1/14/2010
Inactive	Federated Mutual Insurance Company	301106	Agent - General Lines	7/29/1980	8/15/2000
Inactive	Federated Mutual Insurance Company	301106	Agent - Property	8/15/2000	1/14/2010
Inactive	Federated Service Insurance Company	301962	Agent - Casualty	8/15/2000	1/14/2010
Inactive	Federated Service Insurance Company	301962	Agent - General Lines	4/5/1999	8/15/2000
Inactive	Federated Service Insurance Company	301962	Agent - Property	8/15/2000	1/14/2010
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/6/2012	10/6/2014
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	10/23/2003
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	3/7/2000	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	10/23/2003
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/18/2015	4/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/18/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/18/2015	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/18/2015	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/18/2015	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/18/2015	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/18/2015	4/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/18/2015	4/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/18/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/18/2015	10/22/2015
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	10/23/2003
Inactive	Maryland Casualty Company	301719	Agent - General Lines	3/7/2000	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	10/23/2003
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/14/2011	11/10/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	10/23/2003
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	3/7/2000	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	10/23/2003
Inactive	Principal National Life Insurance Company	301926	Agent - Life	11/12/2015	10/1/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/10/2012	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/10/2012	9/9/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/21/2015	12/24/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/10/2012	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/10/2012	9/9/2015

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 - Life	8/18/2015	10/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/18/2015	10/1/2019