DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lawrence, Misty Elaine	DOIID	580402	NAIC NPN	7928289

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/21/2019	11/30/2021
Inactive	Resident	Agent	Limited Line Credit	7/11/2011	11/30/2013
Inactive	Resident	Agent	Health	3/12/2019	11/30/2021
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/13/2019	9/23/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/27/2019	9/23/2019
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/1/2005	6/22/2007
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Limited Line Credit	11/9/2011	11/30/2013
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	4/12/2004	3/28/2005
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/5/2004	12/16/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	2/2/2006	7/9/2007
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/3/2004	7/18/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	3/2/2004	6/20/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/2/2004	6/20/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	3/6/2004	6/20/2007
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	3/6/2004	7/18/2007