DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Ann S	DOIID	978018	NAIC NPN	5309852

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/30/2017	1/31/2021
Inactive	Non Resident	Agent	Life	11/30/2017	1/31/2021
* 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	ReliaStar Life Insurance Company	301712	Agent - Health	12/4/2017	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/4/2017	12/18/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Health	12/7/2017	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Life	12/7/2017	1/7/2020