DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harvest Insurance Services, LLC	DOIID	588179	NAIC NPN	8050985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/19/2004	3/31/2008
Inactive	Resident	Agent	Health	4/19/2004	3/31/2008
* 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	Cigna National Health Insurance Company	300235	Agent - Health	10/22/2004	12/4/2006
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	10/22/2004	12/4/2006
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	8/30/2004	3/31/2008
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/30/2004	3/31/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	5/12/2004	6/22/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	5/12/2004	6/22/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Watson, William Todd	333502	Agent - Health	4/19/2004	3/31/2008
Inactive	Watson, William Todd	333502	Agent - Life	4/19/2004	3/31/2008