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DEPARTMENT OF INSURANCE
Affiliations
Name
Mann, Larry G
DOIID
626797
NAIC NPN
3619792
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
3/8/2006
5/1/2013
Inactive
Resident
Agent
Health
3/8/2006
5/1/2013
* 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
Allianz Life Insurance Company of North America
301791
Agent - Health
5/2/2006
2/8/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
5/2/2006
2/8/2010
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
7/9/2010
5/1/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Health
9/1/2010
5/1/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
9/1/2010
5/1/2013
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
5/17/2007
5/1/2013
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
2/15/2008
2/28/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Health
3/14/2006
12/13/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Life
3/14/2006
12/13/2012
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
5/4/2006
5/1/2013
Inactive
Humana Insurance Company
301104
Agent - Health
5/4/2006
5/1/2013
Inactive
Humana Insurance Company
301104
Agent - Life
5/4/2006
5/1/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
5/4/2006
5/1/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
5/4/2006
5/1/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Health
5/4/2006
5/13/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Life
5/4/2006
5/13/2013
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
11/21/2006
11/9/2009
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
11/21/2006
11/9/2009
Inactive
Independent Order of Foresters
300743
Agent - Life
3/27/2008
12/9/2010
Inactive
Kanawha Insurance Company
300127
Agent - Health
8/30/2010
4/25/2013
Inactive
Kanawha Insurance Company
300127
Agent - Life
8/30/2010
4/25/2013
Inactive
MedAmerica Insurance Company
301568
Agent - Health
5/2/2008
12/1/2010
Inactive
Medico Insurance Company
301559
Agent - Health
9/23/2008
7/5/2011
Inactive
Medico Insurance Company
301559
Agent - Life
9/23/2008
7/5/2011
Inactive
Prudential Insurance Company of America
300784
Agent - Health
5/27/2008
5/1/2013
Inactive
Prudential Insurance Company of America
300784
Agent - Life
5/27/2008
5/1/2013
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
6/16/2006
5/1/2013
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
6/16/2006
5/1/2013
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
6/16/2006
5/1/2013
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
6/16/2006
5/1/2013
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
10/19/2006
5/1/2013
Inactive
HealthSource LLC
548251
Agent - Health
8/13/2008
3/31/2012
Inactive
HealthSource LLC
548251
Agent - Life
8/13/2008
3/31/2012
Inactive
Medlink Inc
400721
Agent - Health
9/17/2008
5/1/2013
Inactive
Medlink Inc
400721
Agent - Life
9/17/2008
5/1/2013
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