DEPARTMENT OF INSURANCE

Affiliations

Name	Holmes, David Larson	DOIID	355751	NAIC NPN	233287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/29/1992	8/31/2022
Inactive	Non Resident	Agent	Health	9/29/1992	8/31/2022
* 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	Allied Life Insurance Company	301294	Agent - Health	6/22/1995	7/21/1997
Inactive	Allied Life Insurance Company	301294	Agent - Life	6/22/1995	7/21/1997
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	10/19/1998	12/31/1998
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	10/19/1998	12/31/1998
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/30/1999	12/14/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/30/1999	12/14/2006
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	11/15/2001	12/23/2016
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	11/15/2001	12/23/2016
Inactive	Augustar Life Insurance Company	301816	Agent - Health	11/15/2001	12/19/2012
Inactive	Augustar Life Insurance Company	301816	Agent - Life	11/15/2001	12/19/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/25/1997	8/31/2022
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/3/1997	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/3/1997	4/1/2007
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/23/1997	3/24/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	12/11/1997	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	12/11/1997	5/8/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/25/1995	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/1/1996	12/24/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/1/1996	12/24/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/8/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/12/1994	11/22/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/12/1994	11/22/2000
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	7/26/1996	10/2/2000
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	7/26/1996	10/2/2000
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/6/1996	7/14/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/24/2003	7/29/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/24/2003	7/29/2008
Inactive	Manhattan Life Insurance Company	300880	Agent - Life	10/7/1996	5/15/2013
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	5/21/1996	4/9/2001
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	5/21/1996	4/9/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	5/5/1994	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	5/5/1994	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Life	10/18/1993	3/31/1997
Inactive	National Western Life Insurance Company	301515	Agent - Health	12/18/1997	7/10/2000
Inactive	National Western Life Insurance Company	301515	Agent - Life	12/18/1997	7/10/2000
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/30/1992	3/22/2007
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	1/5/1995	3/8/2005
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	1/5/1995	3/8/2005
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	9/29/1992	2/19/2011
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	9/29/1992	2/19/2011
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/12/2020	8/31/2022
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/12/2020	8/31/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/20/2007	12/26/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/17/2020	8/31/2022
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/22/2002	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/22/2002	12/23/2014
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/7/1995	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/7/1995	9/16/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/24/2008	10/6/2012
Inactive	Symetra Life Insurance Company	301691	Agent - Health	1/28/1998	12/28/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Life	1/28/1998	12/28/2004
Inactive	Time Insurance Company	300683	Agent - Health	5/28/1993	2/1/2011
Inactive	Time Insurance Company	300683	Agent - Life	5/28/1993	2/1/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/6/2020	8/31/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/6/2020	8/31/2022
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/22/1999	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/22/1999	10/1/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	6/22/1998	9/25/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	6/22/1998	11/7/2002
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/28/2010	11/16/2011
Inactive		300277	Agent - Health	9/2/1997	1/1/2007
Inactive		300277	Agent - Life	9/2/1997	1/1/2007

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	6/25/1996	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	2/28/2003