DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Abell, Harry Samuel	DOIID	361147	NAIC NPN	7196346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/26/1983	10/18/2018
Inactive	Resident	Agent	Life	9/26/1983	10/18/2018
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/3/1996	5/17/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/3/1996	5/17/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/26/1983	4/14/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/26/1983	4/14/2004
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	6/7/1990	3/16/2001
Inactive	United American Insurance Company	300910	Agent - Health	1/23/1985	1/3/2001
Inactive	United American Insurance Company	300910	Agent - Life	1/23/1985	1/3/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	2/28/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	2/28/2005