DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harrison, Dreama L	DOIID	820708	NAIC NPN	17060775

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/26/2013	11/1/2017
Inactive	Resident	Agent	Life	11/5/2013	11/1/2017
* 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	Assurity Life Insurance Company	301099	Agent - Health	2/3/2014	12/12/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/3/2014	12/12/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/14/2015	11/11/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/14/2015	11/11/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/14/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/14/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/16/2015	11/1/2017
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	12/3/2013	4/4/2016
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	11/15/2013	4/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	12/10/2013	12/12/2016
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	12/10/2013	11/1/2017