DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackheath Partners LLC	DOIID	1340650	NAIC NPN	20887567

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/17/2024		3/31/2028
Active	Non Resident	Agent	Life	9/18/2024		3/31/2028
* 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
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/1/2024
Active	Pruco Life Insurance Company	300954	Agent - Life	11/4/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/29/2024
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Eller, Matthew	892655	Agent - Health	7/17/2024
Active	Eller, Matthew	892655	Agent - Life	9/18/2024