black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HARLAN LARRY FORTENBERRY

PRODUCER NON-RESIDENT

License Number:
PRN150701
Status:
First Licensure:
02/28/2008
Cancel Date:
None

Mailing:
JACKSON, MS 39216
Phone:
+1 (601) 982-3000
Fax:
+1 (601) 982-0520
Email:
larry@epgbenefits.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/28/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
EXECUTIVE INSURANCE AGENCY INC
01/03/2011 AGN59547 03/13/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
C M LIFE INSURANCE COMPANY
03/12/2008 LHF906
HUMANA INSURANCE COMPANY
10/02/2013 LHF980 02/12/2018
HUMANADENTAL INSURANCE COMPANY
10/02/2013 LHF173873 02/12/2018
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
03/12/2008 LHF17
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY
04/12/2024 LHF161852

Authority

Description Issue Date Termination Date Status
HEALTH 02/28/2008 Active
LIFE 02/28/2008 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
558239

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 02/22/2026 10:17:39 PM