DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	House, Laura Denise	DOIID	539406	NAIC NPN	7219857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/9/2001	10/27/2007
* 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	Citizens Security Life Insurance Company	301257	Agent - Life	11/9/2001	10/27/2007
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/25/2003	10/27/2007
Inactive	Southland National Insurance Corporation	517954	Agent - Life	9/8/2003	1/2/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Reliance Group, Inc	512739	Agent - Life	3/12/2004	1/30/2007