DEPARTMENT OF INSURANCE

Affiliations

Name	Harned, Jimmie D	DOIID	306652	NAIC NPN	3340969

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Prepaid Dental Plan	6/25/1999	3/1/2001
Inactive	Resident	Agent	Life	9/11/1998	12/1/2018
Inactive	Resident	Agent	Health	9/11/1998	12/1/2018
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	12/31/1998	2/26/2009
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	12/31/1998	2/26/2009
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/11/1998	10/12/2017
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/11/1998	10/12/2017
Inactive	DentiCare, Inc.	300655	Agent - Health	3/1/2001	11/1/2005
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	6/9/2000	3/1/2001
Inactive	Northern Life Insurance Company	300301	Agent - Health	2/9/1999	3/31/2001
Inactive	Northern Life Insurance Company	300301	Agent - Life	6/3/2002	10/2/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	4/14/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	4/14/2000	12/11/2002
Inactive	Premier Dental Network Inc.	300661	Agent - Prepaid Dental Plan	6/25/1999	2/2/2001
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/9/2000	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/9/2000	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/14/2000	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/14/2000	12/30/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	6/13/2000	11/3/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/13/2000	11/3/2007
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	5/22/2000	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	5/22/2000	10/1/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/14/2000	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/14/2000	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	5/16/2001	1/9/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	5/16/2001	1/9/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Creative Employee Benefits, Inc.	400416	Agent - Life	2/12/2003	3/31/2007
Inactive	Creative Employee Benefits, Inc.	400416	Agent - Health	2/12/2003	3/31/2007