DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Anita Faye	DOIID	543371	NAIC NPN	3128869

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/19/2002	2/25/2008
Inactive	Non Resident	Agent	Life	3/19/2002	2/25/2008
* 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	Symetra Life Insurance Company	301691	Agent - Health	3/19/2002	9/26/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/19/2002	9/26/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/23/2002	2/3/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brooke Life and Health, Inc.	543748	Agent - Health	3/19/2002	3/19/2004
Inactive	Brooke Life and Health, Inc.	543748	Agent - Life	3/19/2002	3/19/2004