DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes Jr, Larry Thomas	DOIID	670901	NAIC NPN	10094364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	10/1/2009	7/1/2014
Inactive	Resident	Agent	Personal Lines	10/1/2009	7/1/2014
Inactive	Resident	Agent	Casualty	10/1/2009	7/1/2014
Inactive	Resident	Agent	Life	1/17/2008	7/1/2014
Inactive	Resident	Agent	Health	1/17/2008	7/1/2014
* 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	AAA Life Insurance Company	300287	Agent - Health	10/21/2011	7/1/2014
Inactive	AAA Life Insurance Company	300287	Agent - Life	10/21/2011	7/1/2014
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	2/16/2011	6/10/2011
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	2/16/2011	6/10/2011
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	10/26/2010	12/19/2011
Denied	Athene Annuity & Life Assurance Company	301798	Agent - Life
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	8/12/2011	9/25/2012
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	8/12/2011	9/25/2012
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	10/11/2011	11/1/2011
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	10/11/2011	2/18/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	12/29/2011	8/14/2012
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	12/29/2011	8/14/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/29/2011	8/14/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/29/2011	8/14/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/16/2012	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/16/2012	12/7/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/13/2012	7/1/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/19/2009	11/10/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/19/2009	11/10/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/17/2008	11/3/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/17/2008	11/3/2010
Inactive	United Home Life Insurance Company	300421	Agent - Life	10/28/2010	7/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Commonwealth Insurance Services, Inc.	751009	Agent - Health
Inactive	Commonwealth Insurance Services, Inc.	751009	Agent - Life	7/18/2011	4/9/2013
Inactive	Commonwealth Insurance Services, Inc.	751009	Agent - Property	8/12/2011	9/25/2012
Inactive	Commonwealth Insurance Services, Inc.	751009	Agent - Casualty	8/12/2011	9/25/2012
Inactive	United Financial Services Inc	400566	Agent - Health	10/15/2009	11/3/2010
Inactive	United Financial Services Inc	400566	Agent - Life	10/15/2009	7/1/2014
Inactive	United Financial Services Inc	400566	Agent - Property	11/19/2009	11/10/2010
Inactive	United Financial Services Inc	400566	Agent - Casualty	11/19/2009	11/10/2010