DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Richard R	DOIID	1068477	NAIC NPN	10458134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/17/2019		5/31/2027
Active	Non Resident	Agent	Life	12/17/2019		5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	04/09/2025	04/09/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/22/2020
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/22/2020
Active	CMFG Life Insurance Company	300929	Agent - Life	4/2/2024
Active	Tier One Insurance Company	301056	Agent - Health	9/27/2021
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	1/22/2020
Active	Sutherland Global Services Inc	601788	Agent - Health	1/22/2020