DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harvey, Connie L	DOIID	766629	NAIC NPN	7739135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/13/2011	11/30/2014
Inactive	Non Resident	Agent	Life	10/13/2011	11/30/2014
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/1/2011	12/30/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/1/2011	12/30/2014
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/22/2011	3/31/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/22/2011	6/21/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/22/2013	12/3/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/22/2013	12/3/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Buck Global, LLC	594458	Agent - Life	12/1/2011	2/8/2012
Inactive	Buck Global, LLC	594458	Agent - Health	10/25/2011	2/8/2012