DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harmon, Monica Birdsong	DOIID	723797	NAIC NPN	15692256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/29/2010		3/31/2026
Active	Resident	Agent	Life	5/11/2010		3/31/2026
* 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
Active	Anthem Life Insurance Company	301209	Agent - Health	8/26/2016
Active	Anthem Life Insurance Company	301209	Agent - Life	8/26/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/11/2012	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/11/2012	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/11/2012	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/11/2012	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
Denied	Assuredpartners Nl, Llc	762387	Agent - Health
Denied	Assuredpartners Nl, Llc	762387	Agent - Life
Active	Designated Agent Company Inc.	681257	Agent - Health	8/26/2016
Active	Designated Agent Company Inc.	681257	Agent - Life	8/26/2016
Active	Houchens Insurance Group, Inc.	637099	Agent - Health	8/30/2016
Active	Houchens Insurance Group, Inc.	637099	Agent - Life	8/30/2016
Denied	Neace Lukens, Inc.	398909	Agent - Health
Denied	Neace Lukens, Inc.	398909	Agent - Life