DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gentry, Cleveland Douglas	DOIID	366556	NAIC NPN	7198756

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/7/1993	7/1/1996
Inactive	Resident	Agent	Life	8/17/1993	7/1/1996
* 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	Golden Rule Insurance Company	301943	Agent - Health	9/7/1993	7/1/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/7/1993	7/1/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/1/1995	7/1/1996
Inactive	Modern Woodmen of America	301213	Agent - Life	8/17/1993	3/31/1996
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/5/1994	7/1/1996
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	10/5/1994	7/1/1996
Inactive	Settlers Life Insurance Company	300189	Agent - Health	5/5/1995	7/1/1996
Inactive	Settlers Life Insurance Company	300189	Agent - Life	5/5/1995	7/1/1996

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	7/1/1996
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	7/1/1996