DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harmon, Derek	DOIID	670496	NAIC NPN	10076890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/20/2008	10/1/2011
Inactive	Resident	Agent	Property	8/20/2008	10/1/2011
Inactive	Resident	Agent	Life	1/22/2008	10/1/2011
Inactive	Resident	Agent	Health	10/2/2008	10/1/2011
* 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	New York Life Insurance and Annuity Corporation	300726	Agent - Life	1/31/2008	7/17/2008
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/20/2008	9/30/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/20/2008	9/30/2011
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/20/2008	11/23/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/20/2008	11/23/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/20/2008	9/30/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/20/2008	9/30/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	10/2/2008	9/30/2011
Inactive	Time Insurance Company	300683	Agent - Health	11/14/2008	9/30/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/29/2008	8/19/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	1/29/2008	7/7/2008
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	1/29/2008	7/7/2008