DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Heinzig, Dennis Earl	DOIID	319920	NAIC NPN	758117

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/6/2002	1/31/2017
Inactive	Non Resident	Agent	Health	11/6/2002	1/31/2017
Inactive	Non Resident	Reinsurance Intermediary Manager	Not Applicable	4/24/2007	1/31/2017
* 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	ACE American Insurance Company	300625	Agent - Health	1/16/2004	1/31/2017
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/17/1996	4/25/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	9/17/1996	4/25/2001
Inactive	PartnerRe America Insurance Company	301938	Agent - Health	8/23/2013	1/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Presidio Excess Ins Services Inc	568183	Agent - Life
Inactive	Presidio Excess Ins Services Inc	568183	Agent - Health	2/17/2004	4/18/2016
Inactive	Presidio Excess Ins Services Inc	568183	Reinsurance Intermediary Manager - Not Applicable	4/27/2007	4/18/2016