DEPARTMENT OF INSURANCE

Affiliations

Name	Pack, Lanny David	DOIID	369763	NAIC NPN	1730109

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	General Lines
Inactive	Resident	Agent	Casualty	10/9/2001	7/1/2004
Inactive	Resident	Agent	Life	8/29/1995	7/1/2004
Inactive	Resident	Agent	Property	10/9/2001	7/1/2004
Inactive	Resident	Agent	Health	8/29/1995	7/1/2004
* 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	AIG Assurance Company	300897	Agent - Casualty	10/13/2003	7/1/2004
Inactive	AIG Assurance Company	300897	Agent - Property	10/13/2003	7/1/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/12/1995	7/1/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/12/1995	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/21/2000	7/1/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/21/2000	7/1/2004
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	6/19/2000	7/1/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	8/29/1995	3/31/1997
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/29/1995	3/31/1997
Inactive	Countryway Insurance Company	300809	Agent - Casualty	10/9/2001	7/1/2004
Denied	Countryway Insurance Company	300809	Agent - General Lines
Inactive	Countryway Insurance Company	300809	Agent - Property	10/9/2001	7/1/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/5/2001	7/1/2004
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/30/2000	7/1/2004
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/30/2000	7/1/2004
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/11/2003	7/1/2004
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/11/2003	7/1/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	1/22/2002	5/20/2002
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	1/22/2002	5/20/2002
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	6/21/2002	7/1/2004
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	6/21/2002	7/1/2004
Inactive	Omni Indemnity Company	301456	Agent - Casualty	5/13/2002	7/1/2004
Inactive	Omni Indemnity Company	301456	Agent - Property	5/13/2002	7/1/2004
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	12/13/1995	7/1/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	12/13/1995	7/1/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/17/1999	3/27/2001
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/17/1999	3/27/2001
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	5/13/2002	7/1/2004
Inactive	Trumbull Insurance Company	300242	Agent - Property	5/13/2002	7/1/2004
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/23/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/23/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arison Insurance Services, Inc.	401001	Agent - Life
Denied	Arison Insurance Services, Inc.	401001	Agent - Health
Inactive	Autoinsurance Network, Inc.	398917	Agent - Property	3/25/2002	1/15/2004
Inactive	Autoinsurance Network, Inc.	398917	Agent - Casualty	3/25/2002	1/15/2004