DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harrison, David A	DOIID	714536	NAIC NPN	967306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/16/2014	1/31/2017
Inactive	Non Resident	Agent	Property	6/16/2014	1/31/2017
Inactive	Non Resident	Agent	Health	9/29/2009	1/31/2017
Inactive	Non Resident	Agent	Life	9/29/2009	1/31/2017
* 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	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	6/24/2014	1/31/2017
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	6/24/2014	1/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/21/2009	2/18/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/21/2009	2/18/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/19/2013	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/19/2013	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/19/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/19/2013	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/2013	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/2013	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/19/2013	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/19/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/19/2013	10/22/2015
Inactive	Time Insurance Company	300683	Agent - Health	10/28/2013	3/28/2016
Inactive	Time Insurance Company	300683	Agent - Life	10/28/2013	3/28/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/16/2009	11/29/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/16/2009	11/29/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/16/2009	11/29/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/16/2009	11/29/2016

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 - Life	10/21/2009	2/17/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/21/2009	2/17/2017
Inactive	Jones-Grimes-Long-Snider Inc	520751	Agent - Life	11/4/2011	1/31/2017
Inactive	Jones-Grimes-Long-Snider Inc	520751	Agent - Health	11/4/2011	1/31/2017
Inactive	Medlink Inc	400721	Agent - Life	7/10/2013	1/31/2017
Inactive	Medlink Inc	400721	Agent - Health	7/10/2013	1/31/2017