DEPARTMENT OF INSURANCE

Affiliations

Name	Harlow III, Charles Wayne	DOIID	566229	NAIC NPN	7631325

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	10/15/2013	4/1/2014
Inactive	Resident	Agent	Life	10/15/2013	4/1/2014
* 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 Continental Insurance Company	643130	Agent - Health	6/28/2013	10/1/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	6/28/2013	10/1/2013
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	5/8/2010	12/28/2012
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	5/8/2010	12/28/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/8/2013	10/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/8/2013	10/1/2013
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/13/2013	10/1/2013
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/13/2013	10/1/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/29/2013	4/1/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/8/2008	4/9/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/8/2008	4/9/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/28/2013	10/1/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/29/2013	4/1/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	7/13/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	7/13/2009	12/7/2012
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/8/2013	10/1/2013
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/8/2013	10/1/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/29/2013	4/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2013	4/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2013	4/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2013	4/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/29/2013	4/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/29/2013	4/1/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/29/2010	4/9/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/29/2010	4/9/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2013	4/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2013	4/1/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/12/2010	12/26/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/20/2011	10/1/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/20/2011	10/1/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/13/2010	10/1/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/13/2010	10/1/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/29/2011	10/1/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/29/2011	10/1/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/12/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/12/2010	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	4/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	4/1/2014
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/2/2009	10/1/2013
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	10/2/2009	10/1/2013