DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Lawrence Willard	DOIID	554879	NAIC NPN	397494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/6/2003	10/31/2006
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	9/17/2002	10/31/2006
Inactive	Non Resident	Agent	Life	9/17/2002	10/31/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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	2/18/2005	10/31/2006
Inactive	American United Life Insurance Company	300498	Agent - Life	2/18/2005	10/31/2006
Inactive	American United Life Insurance Company	300498	Agent - Variable Life and Variable Annuities	2/18/2005	10/31/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	7/25/2003	4/15/2005
Inactive	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	7/25/2003	4/15/2005
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	9/1/2005	10/31/2006
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Variable Life and Variable Annuities	9/1/2005	12/29/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Tower Square Securities, Inc.	400222	Agent - Health
Inactive	Tower Square Securities, Inc.	400222	Agent - Life	12/20/2004	10/31/2006
Inactive	Tower Square Securities, Inc.	400222	Agent - Variable Life and Variable Annuities	12/20/2004	10/31/2006