DEPARTMENT OF INSURANCE

Affiliations

Name	Harnold, George F	DOIID	534345	NAIC NPN	1798381

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/21/2014	11/30/2015
Inactive	Non Resident	Agent	Life	7/21/2014	11/30/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/19/2014	11/30/2015
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/19/2014	11/30/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/19/2014	11/30/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/19/2014	11/30/2015
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/4/2002	11/1/2006
Inactive	Clover Insurance Company	301587	Agent - Health	9/18/2001	11/30/2013
Inactive	Clover Insurance Company	301587	Agent - Life	9/18/2001	5/6/2005
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/26/2009	8/31/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/26/2009	8/31/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/26/2009	8/31/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/26/2009	8/31/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/19/2014	11/30/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/26/2009	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	8/26/2009	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	8/26/2009	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/26/2009	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/26/2009	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/26/2009	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/26/2009	8/31/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/27/2015	11/30/2015
Inactive	Omaha Insurance Company	751908	Agent - Health	10/27/2015	11/30/2015
Inactive	Union Labor Life Insurance Company	301832	Agent - Health	7/27/2001	11/4/2003
Inactive	Union Labor Life Insurance Company	301832	Agent - Life	7/27/2001	11/4/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/27/2015	11/30/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/27/2015	11/30/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/5/2014	11/30/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/5/2014	11/30/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	11/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	8/26/2009	8/31/2011
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	7/12/2004	11/30/2013