DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Heilman, Damon	DOIID	1121146	NAIC NPN	18610612

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/17/2021		4/30/2027
Active	Non Resident	Agent	Health	2/17/2021		4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Banner Life Insurance Company	301696	Agent - Life	12/16/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/13/2022	7/24/2024
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/10/2021	8/27/2021
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	12/13/2022	7/24/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/7/2021	9/8/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/16/2021	9/1/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/16/2021	9/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ethos Technologies Inc.	934675	Agent - Life	2/10/2026
Denied	Ethos Technologies Inc.	934675	Agent - Health