DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pittman, Larry Bennett	DOIID	373869	NAIC NPN	7201854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/8/2002	11/19/2005
Inactive	Resident	Agent	Life	7/8/2002	11/19/2005
* 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	Bankers United Life Assurance Company	300296	Agent - Health	4/2/1993	9/10/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	4/2/1993	9/10/1998
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	9/22/1994	3/28/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	9/22/1994	3/28/1996
Inactive	Grange Life Insurance Company	300128	Agent - Health	7/8/2002	1/27/2006
Inactive	Grange Life Insurance Company	300128	Agent - Life	7/8/2002	1/27/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/9/1995	1/13/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/9/1995	1/13/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	11/18/2005	11/19/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	11/18/2005	11/19/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adkisson Insurance Agency Inc.	399145	Agent - Life	11/13/2001	1/16/2002
Inactive	First Community Bank Of The Heartland, Inc.	399685	Agent - Life	9/3/2002	11/19/2005
Inactive	First Community Bank Of The Heartland, Inc.	399685	Agent - Health	9/3/2002	11/19/2005