DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Adam M	DOIID	738481	NAIC NPN	15968287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/1/2010		8/31/2024
Active	Resident	Agent	Health	11/1/2010		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/6/2013	5/3/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/6/2013	5/3/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/6/2013	5/3/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/8/2010	5/3/2017
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2010	5/3/2017
Inactive	Humana Insurance Company	301104	Agent - Life	11/1/2010	5/3/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/6/2013	5/3/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/6/2013	5/3/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/8/2010	5/3/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/8/2010	5/3/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Life
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Health