DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Daniel Jr, Glen Harrison	DOIID	608227	NAIC NPN	5941327

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/5/2005	8/31/2008
Inactive	Non Resident	Agent	Property	5/5/2005	8/31/2008
* 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	American Family Home Insurance Company	301817	Agent - Casualty	5/5/2005	8/31/2008
Inactive	American Family Home Insurance Company	301817	Agent - Property	5/5/2005	8/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMH Homes, Inc.	398100	Agent - Casualty	6/23/2005	8/31/2008
Inactive	CMH Homes, Inc.	398100	Agent - Property	6/23/2005	8/31/2008