DEPARTMENT OF INSURANCE
Affiliations
NameHarris, Carlos DOIID786137NAIC NPN16657004
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/13/201212/31/2015 
InactiveNon ResidentAgentLife7/13/201212/31/2015 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFreedom Life Insurance Company of America300074Agent - Health2/14/20131/20/2015
InactiveFreedom Life Insurance Company of America300074Agent - Life2/14/20131/20/2015
InactiveTime Insurance Company300683Agent - Health3/3/201512/31/2015
InactiveTime Insurance Company300683Agent - Life3/3/201512/31/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealth Source One Insurance Group, LLC787497Agent - Life2/14/20132/27/2014
InactiveHealth Source One Insurance Group, LLC787497Agent - Health2/14/20132/27/2014
InactiveHomeland Healthcare, LLC736705Agent - Life2/14/20132/27/2014
InactiveHomeland Healthcare, LLC736705Agent - Health2/14/20132/27/2014

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