DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Jerry L	DOIID	375821	NAIC NPN	948539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/13/1992	7/1/1998
Inactive	Resident	Agent	Health	8/13/1992	7/1/1998
Inactive	Resident	Agent	General Lines	4/6/1992	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	American Family Home Insurance Company	301817	Agent - General Lines	3/19/1996	7/1/1998
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	5/8/1996	7/1/1998
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	1/28/1998	7/1/1998
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	9/19/1997	7/1/1998
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	1/22/1996	7/1/1998
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	1/22/1996	7/1/1998
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	1/22/1996	7/1/1998
Inactive	RLI Insurance Company	301217	Agent - General Lines	12/23/1992	7/1/1998
Inactive	Sentry Insurance Company	300222	Agent - General Lines	4/6/1992	7/1/1998
Inactive	Sentry Life Insurance Company	301461	Agent - Health	8/13/1992	7/1/1998
Inactive	Sentry Life Insurance Company	301461	Agent - Life	8/13/1992	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	Parker Stevens Agency Inc.	399366	Agent - Life	12/12/1994	7/1/1998
Inactive	Parker Stevens Agency Inc.	399366	Agent - Health	12/12/1994	7/1/1998