DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Donna Jo	DOIID	340993	NAIC NPN	1892566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	1/22/2002	7/1/2006
Inactive	Resident	Agent	Life	6/21/1996	7/1/2006
Inactive	Resident	Agent	Health	6/21/1996	7/1/2006
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	5/21/1996	6/21/1996
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/13/2006	7/1/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/13/2006	7/1/2006
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/21/1996	7/10/2000
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/21/1996	7/10/2000
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Ordinary Life (Temporary Life)	5/21/1996	6/21/1996
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/10/2000	2/15/2001
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	1/22/2002	4/30/2004
Inactive	Integrity Life Insurance Company	301687	Agent - Life	12/28/2005	7/1/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	7/26/2000	7/1/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/26/2000	7/1/2006
Inactive	Oakwood Insurance Company	300453	Agent - Property	9/27/1996	7/10/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/15/2001	4/30/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/16/2001	4/30/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/14/1999	6/12/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wright's Funeral Home Inc.	556770	Agent - Life	2/27/2003	7/1/2006