DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Jennifer Ann	DOIID	696032	NAIC NPN	12624274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	12/31/2008	1/9/2011
Inactive	Resident	Agent	Health	12/31/2008	1/9/2011
* 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	Bankers Life and Casualty Company	300701	Agent - Health	12/31/2008	11/3/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	12/31/2008	11/3/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	1/21/2009	10/28/2010
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	1/21/2009	10/28/2010
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/30/2009	11/1/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/30/2009	11/1/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/2/2009	12/4/2010
Inactive	Humana Insurance Company	301104	Agent - Health	9/1/2009	12/4/2010
Inactive	Humana Insurance Company	301104	Agent - Life	9/1/2009	12/4/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Neace Lukens, Inc.	398909	Agent - Health
Denied	Neace Lukens, Inc.	398909	Agent - Life