DEPARTMENT OF INSURANCE
Affiliations
NameFortenberry, Harlan LarryDOIID361808NAIC NPN558239
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/27/2008 1/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities2/24/2017 1/31/2025
ActiveNon ResidentAgentHealth2/27/2008 1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202401/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life4/22/2024 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/18/2024 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health1/28/19981/31/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life1/28/19981/31/2007
InactiveAmerican Fidelity Assurance Company301004Agent - Health7/13/19991/31/2007
InactiveAmerican Fidelity Assurance Company301004Agent - Life7/13/19991/31/2007
ActiveC.M. Life Insurance Company301335Agent - Health3/12/2008 
ActiveC.M. Life Insurance Company301335Agent - Life3/12/2008 
InactiveCompBenefits Dental, Inc.591692Agent - Health10/2/20134/10/2018
InactiveDental Concern Inc. (The)301641Agent - Health10/2/20134/10/2018
InactiveGenworth Life Insurance Company300623Agent - Health11/12/20111/7/2014
InactiveGenworth Life Insurance Company300623Agent - Life11/12/20111/7/2014
InactiveHumana Health Plan, Inc.300142Agent - Health10/2/20134/10/2018
InactiveHumana Insurance Company301104Agent - Health10/2/20134/10/2018
InactiveHumana Insurance Company301104Agent - Life10/2/20134/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/2/20134/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/2/20134/10/2018
InactiveKanawha Insurance Company300127Agent - Health10/2/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life10/2/201310/22/2015
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Health3/12/2008 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life3/12/2008 
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/17/20081/7/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/17/20081/7/2010
ActiveMetropolitan Life Insurance Company301948Agent - Health10/17/2008 
ActiveMetropolitan Life Insurance Company301948Agent - Life10/17/2008 
InactiveMinnesota Life Insurance Company300488Agent - Health5/26/20174/10/2024
InactiveMinnesota Life Insurance Company300488Agent - Life5/26/20174/10/2024
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities5/26/20174/10/2024
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/3/20021/31/2007
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/3/20021/31/2007
InactiveReliaStar Life Insurance Company301712Agent - Health8/11/200810/6/2012
InactiveReliaStar Life Insurance Company301712Agent - Life8/11/200810/6/2012
InactiveUNUM Life Insurance Company of America300817Agent - Health9/3/20021/31/2007
InactiveUNUM Life Insurance Company of America300817Agent - Life9/3/20021/31/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveExecutive Ins Agency Inc400244Agent - Life12/22/20103/13/2024
InactiveExecutive Ins Agency Inc400244Agent - Health12/22/20103/13/2024

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