DEPARTMENT OF INSURANCE

Affiliations

Name	Weathers, Larry Dean	DOIID	389788	NAIC NPN	7208821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/11/2014	3/1/2020
Inactive	Resident	Agent	Health Maintenance Organization	10/14/1999	12/1/2000
Inactive	Resident	Agent	Health	7/10/2014	3/1/2020
* 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	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	10/14/1999	12/1/2000
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/1/2019	3/1/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/1/2019	3/1/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/31/2018	3/1/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/31/2018	3/1/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/31/2018	3/1/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	6/24/2018	3/1/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	6/24/2018	3/1/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/24/2018	3/1/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/24/2018	3/1/2020
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/3/2014	3/1/2020
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/11/2002	11/17/2004
Inactive	Canada Life Assurance Company	301192	Agent - Health	1/14/1997	12/29/1997
Inactive	Canada Life Assurance Company	301192	Agent - Life	1/14/1997	12/29/1997
Inactive	Celtic Insurance Company	300877	Agent - Health	6/29/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	6/29/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/10/2015	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/10/2015	12/14/2016
Inactive	Great Western Insurance Company	501693	Agent - Life	7/14/2017	3/1/2020
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	12/9/1996	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	12/9/1996	9/8/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/22/1995	12/16/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/22/1995	12/16/1998
Inactive	Indianapolis Life Insurance Company	301381	Agent - Health	7/18/1996	11/27/2000
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	7/18/1996	11/27/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	12/30/1996	7/1/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	3/20/2014	3/1/2020
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/1/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/1/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/22/2000	7/1/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/22/2000	7/1/2006
Inactive	Midland National Life Insurance Company	300923	Agent - Life	10/6/2014	3/1/2020
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Health	9/27/1999	7/1/2006
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	9/27/1999	7/1/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/27/1999	6/24/2002
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/8/2014	11/10/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/29/1997	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/29/1997	8/24/2000
Inactive	Security Life Insurance Company of America	300936	Agent - Health	7/14/2000	12/23/2002
Inactive	Security Life Insurance Company of America	300936	Agent - Life	7/14/2000	12/23/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	2/13/1996	12/31/1998
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	2/13/1996	12/31/1998
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/1/2019	3/1/2020
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	7/7/1999	12/6/2000
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	7/7/1999	12/6/2000
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	10/20/1998	3/31/2003
Inactive	Time Insurance Company	300683	Agent - Health	6/15/1998	12/15/2000
Inactive	Time Insurance Company	300683	Agent - Life	6/15/1998	12/15/2000
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/18/2014	8/1/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/14/1998	9/14/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	10/29/2001	8/22/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/12/1998	8/22/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/12/1998	8/22/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/17/2000	9/10/2001
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/24/2014	2/20/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	7/29/1998	12/31/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	7/29/1998	12/31/2000
Inactive	United American Insurance Company	300910	Agent - Health	8/18/2014	12/23/2016
Inactive	United American Insurance Company	300910	Agent - Life	8/18/2014	12/23/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/25/2018	6/24/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/25/2018	6/24/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/10/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/10/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

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 - Health	5/28/1999	7/1/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/28/1999	7/1/2006
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/31/2018	3/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/31/2018	3/1/2020
Inactive	Medlink Inc	400721	Agent - Health	2/12/2004	7/1/2006
Inactive	Medlink Inc	400721	Agent - Life	2/12/2004	7/1/2006