DEPARTMENT OF INSURANCE

Affiliations

Name	Lentz, Lawrence A	DOIID	367938	NAIC NPN	415694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/9/1986	9/30/2007
Inactive	Non Resident	Agent	Life	10/9/1986	9/30/2007
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	6/19/2001	9/30/2007
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/28/2005	9/30/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/28/2005	9/30/2007
Inactive	Nassau Life Insurance Company	301406	Agent - Health	10/9/1986	7/30/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	10/9/1986	7/30/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Variable Life and Variable Annuities	6/15/2001	7/30/2004

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	1/21/1998	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/21/1998	2/28/2003