DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grant, Derwin Larkmond	DOIID	606276	NAIC NPN	8300339

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/2/2006	2/29/2008
Inactive	Non Resident	Agent	Life	4/5/2005	2/29/2008
* 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	American General Life Insurance Company	301585	Agent - Life	4/21/2005	11/1/2007
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	10/29/2007	11/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/19/2005	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	8/17/2007
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/7/2005	11/13/2007
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	4/25/2005	11/1/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/20/2005	8/17/2007
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/2/2005	9/19/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	2/12/2007	9/6/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/12/2007	9/6/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/5/2007	2/29/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	11/5/2007	2/29/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/30/2006	9/27/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/18/2005	8/16/2007
Inactive		300277	Agent - Life	4/18/2005	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	4/20/2005	8/17/2007
Inactive	SelectQuote Insurance Services	533194	Agent - Health	2/27/2007	8/17/2007
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Life	10/26/2007	11/1/2007
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Health