DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rapp, Laren Joseph	DOIID	864612	NAIC NPN	17427668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/31/2014	4/30/2017
Inactive	Non Resident	Agent	Life	12/31/2014	4/30/2017
* 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	Anthem Life Insurance Company	301209	Agent - Health	1/2/2015	4/30/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/2/2015	4/30/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/4/2015	4/30/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/24/2015	4/30/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/24/2015	4/30/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/15/2015	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/6/2015	4/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	12/15/2015	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Life	1/6/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/15/2015	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/6/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/6/2015	10/22/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/2/2015	6/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/2/2015	6/30/2017
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/2/2015	6/30/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/2/2015	6/30/2017

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	3/9/2015	4/30/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/2/2015	4/30/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/2/2015	4/30/2017
Inactive	FSAB, LLC	576450	Agent - Life	3/9/2015	4/30/2017
Inactive	FSAB, LLC	576450	Agent - Health	3/9/2015	4/30/2017