DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harbin Jr, Lorenzo Wilson	DOIID	392013	NAIC NPN	7209648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	6/21/1991	12/1/2000
Inactive	Resident	Agent	Health	6/21/1991	12/1/2000
Inactive	Resident	Agent	Life	4/13/1993	12/1/2000
* 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	4/12/1996	12/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/12/1996	12/1/2000
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	6/21/1991	12/1/2000
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/21/1991	12/1/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/13/1993	12/22/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/13/1993	12/22/1999
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/24/1997	12/15/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/24/1997	12/15/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/8/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/8/1995	3/31/1997
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/17/1994	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	11/17/1994	3/31/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/18/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/18/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	3/8/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	3/8/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	4/1/1994	12/1/2000
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	4/1/1994	12/1/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/14/1993	12/1/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/14/1993	12/1/2000