DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harlow, Dawn B	DOIID	350726	NAIC NPN	1891185

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/11/1993	7/1/1998
Inactive	Resident	Agent	Life	10/11/1993	7/1/1998
Inactive	Resident	Agent	Health Maintenance Organization	5/20/1994	7/1/1998
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/20/1994	7/1/1998
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	10/11/1993	1/26/1996
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	10/11/1993	1/26/1996
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/8/1994	7/1/1998
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/8/1994	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance One Inc.	399840	Agent - Life	5/10/1994	7/1/1998
Inactive	Insurance One Inc.	399840	Agent - Health	5/10/1994	7/1/1998