DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Laswell, Lawrence Keith	DOIID	548758	NAIC NPN	7116830

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/2/2002	11/17/2005
Inactive	Non Resident	Agent	Health	5/2/2002	11/17/2005
* 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	American United Life Insurance Company	300498	Agent - Health	5/2/2002	4/24/2004
Inactive	American United Life Insurance Company	300498	Agent - Life	5/2/2002	4/24/2004
Inactive	Union Security Insurance Company	301844	Agent - Health	12/10/2002	7/14/2004
Inactive	Union Security Insurance Company	301844	Agent - Life	12/10/2002	7/14/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gardner & White Corporation	549984	Agent - Health	6/20/2002	2/25/2004
Inactive	Gardner & White Corporation	549984	Agent - Life	6/20/2002	2/25/2004