DEPARTMENT OF INSURANCE

Affiliations

Name	Harley, Davina Felice	DOIID	573239	NAIC NPN	361507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/24/2003	8/31/2015
Inactive	Non Resident	Agent	Life	7/24/2003	8/31/2015
* 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	4/22/2010	10/21/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/22/2010	10/21/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/22/2010	10/21/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/21/2012	10/20/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/21/2012	10/20/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/30/2010	9/25/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/30/2010	9/25/2012
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	9/15/2010	8/31/2015
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	9/15/2010	8/31/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/6/2014	8/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/6/2014	8/31/2015
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	3/31/2005	8/19/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	3/31/2005	8/19/2009
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/9/2014	8/31/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/6/2014	8/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/16/2011	8/31/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/16/2011	8/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/6/2014	8/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/6/2014	8/31/2015
Inactive	Independent Order of Foresters	300743	Agent - Health	11/10/2010	12/19/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	11/10/2010	3/17/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/6/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/6/2014	10/22/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/15/2010	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/15/2010	9/9/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/7/2011	8/31/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/7/2011	8/31/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/24/2010	12/9/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/24/2010	12/9/2010
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/18/2010	4/2/2015
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/18/2010	4/2/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/15/2010	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/15/2010	9/9/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Health	4/5/2012	8/31/2015
Inactive	Willis Of Illinois Inc	398318	Agent - Life	4/5/2012	8/31/2015