DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Karen Elaine	DOIID	554481	NAIC NPN	974218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/19/2002	11/30/2005
Inactive	Non Resident	Agent	Life	8/19/2002	11/30/2005
* 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 States Life Insurance Company	301884	Agent - Health	8/19/2002	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	8/19/2002	12/6/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	8/19/2002	11/30/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	8/19/2002	11/30/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brooke Agency Services Company, LLC	544183	Agent - Health	12/20/2004	6/13/2005
Inactive	Brooke Agency Services Company, LLC	544183	Agent - Life	12/20/2004	6/13/2005
Denied	Larson's Insurance Agency, Inc.	560671	Agent - Health
Denied	Larson's Insurance Agency, Inc.	560671	Agent - Life