DEPARTMENT OF INSURANCE
Affiliations
NameN I A National Ins Agency IncDOIID810052NAIC NPN5308931
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth5/13/20139/1/2018 
InactiveNon ResidentAgentLife5/13/20139/1/2018 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCompBenefits Dental, Inc.591692Agent - Health2/20/201512/8/2015
InactiveDental Concern Inc. (The)301641Agent - Health2/20/201512/8/2015
InactiveFreedom Life Insurance Company of America300074Agent - Health6/2/20151/11/2017
InactiveFreedom Life Insurance Company of America300074Agent - Life6/2/20151/11/2017
InactiveHumana Health Plan, Inc.300142Agent - Health2/20/20155/2/2016
InactiveHumana Insurance Company301104Agent - Health2/20/201512/8/2015
InactiveHumana Insurance Company301104Agent - Life2/20/201512/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/20/201512/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/20/201512/8/2015
InactiveKanawha Insurance Company300127Agent - Health2/20/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life2/20/201510/22/2015
InactiveTime Insurance Company300683Agent - Health12/24/20136/30/2015
InactiveTime Insurance Company300683Agent - Life12/24/20136/30/2015
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMcclendon, Larry Gene 646804Agent - Health5/13/20136/30/2018
InactiveMcclendon, Larry Gene 646804Agent - Life5/13/20136/30/2018

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