DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lawrence, Donald Henderson	DOIID	361875	NAIC NPN	1467144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/16/1993	7/1/2006
Inactive	Resident	Agent	Health	7/11/1990	7/1/2006
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	6/12/2000	7/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/12/2000	7/1/2006
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/6/2001	5/28/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/6/2001	5/28/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/16/1996	12/1/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/16/1996	12/1/2005
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/12/2000	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/12/2000	8/2/2002
Inactive	Midland National Life Insurance Company	300923	Agent - Health	2/10/1999	3/1/2005
Inactive	Midland National Life Insurance Company	300923	Agent - Life	2/10/1999	3/3/2003
Inactive	Physicians Life Insurance Company	300924	Agent - Health	3/12/2004	7/1/2006
Inactive	Physicians Life Insurance Company	300924	Agent - Life	3/16/1993	7/1/2006
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	7/11/1990	7/1/2006
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/15/1996	7/22/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/15/1996	7/22/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	4/24/1996	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	4/24/1996	2/10/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/9/1999	7/1/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/9/1999	7/1/2006