DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Larry Dean	DOIID	694962	NAIC NPN	12122084

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/5/2008	3/31/2013
Inactive	Non Resident	Agent	Life	12/5/2008	3/31/2013
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/7/2009	4/30/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/7/2009	4/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assn Group Ins Administrators	518628	Agent - Life	9/2/2010	3/31/2013
Inactive	Assn Group Ins Administrators	518628	Agent - Health	9/2/2010	3/31/2013