DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Justin Terrell	DOIID	1037338	NAIC NPN	18979255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/19/2019	4/30/2024
Inactive	Non Resident	Agent	Life	4/19/2019	4/30/2024
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	4/22/2019	6/23/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/22/2019	6/23/2020
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	12/15/2022	4/30/2024
Inactive	National Health Insurance Company	300554	Agent - Health	11/6/2021	4/30/2024
Inactive	National Health Insurance Company	300554	Agent - Life	11/6/2021	4/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	4/22/2019	6/23/2020
Inactive	Ushealth Advisors Llc	713288	Agent - Health	4/22/2019	6/23/2020