DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harrison, Andy Vadim	DOIID	1087820	NAIC NPN	19545137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/30/2020		5/31/2027
Active	Non Resident	Agent	Life	6/30/2020		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	03/11/2025	03/11/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Companion Life Insurance Company	300191	Agent - Health	7/1/2024
Active	Companion Life Insurance Company	300191	Agent - Life	7/1/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/7/2020	9/23/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/7/2020	9/23/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	9/13/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	9/13/2021
Active	National Guardian Life Insurance Company	300596	Agent - Health	12/19/2023
Active	National Health Insurance Company	300554	Agent - Health	9/30/2021
Active	National Health Insurance Company	300554	Agent - Life	9/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/7/2020	9/23/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/7/2020	9/23/2021