DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Connie L	DOIID	1167093	NAIC NPN	15455930

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/15/2021		1/31/2025
Active	Non Resident	Agent	Casualty	10/15/2021		1/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/30/2021	9/6/2023
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/25/2021	12/14/2023
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/25/2021	12/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	10/25/2021	9/22/2023
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	10/25/2021	9/22/2023
Inactive	Willis Towers Watson Midwest, Inc.	534348	Surplus Lines Broker - Not Applicable	12/8/2021	9/6/2023