DEPARTMENT OF INSURANCE

Affiliations

Name	Harlow, Jerry D	DOIID	321918	NAIC NPN	3313649

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/17/1998	8/11/2010
Inactive	Resident	Agent	Life	4/17/1998	8/11/2010
* 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	Aetna Health Inc.	300694	Agent - Health	5/22/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	8/11/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/22/2001	8/11/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/22/2001	8/11/2010
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	6/17/1998	8/11/2010
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	6/17/1998	8/11/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/17/1998	8/11/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/17/1998	8/11/2010
Inactive	DentiCare, Inc.	300655	Agent - Health	5/29/2001	11/1/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2001	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Health	3/26/2001	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Life	3/26/2001	9/12/2003
Inactive	Northern Life Insurance Company	300301	Agent - Health	9/9/1998	3/31/2001
Inactive	Northern Life Insurance Company	300301	Agent - Life	6/3/2002	10/2/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/29/2001	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/29/2001	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/9/2001	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/9/2001	12/11/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/6/2002	8/11/2010
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/9/2001	12/11/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/9/2001	12/11/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	8/11/2010
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	8/11/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/16/2001	11/22/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/30/2001	11/22/2005

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