DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Heyduck, Charles Otto	DOIID	343532	NAIC NPN	7188574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	4/28/1989	3/1/2001
Inactive	Resident	Agent	Life	12/17/1993	1/31/2011
Inactive	Resident	Agent	Health	12/17/1993	1/31/2011
AFFIDAVIT ON FILE
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	4/28/1989	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/2/2000	1/31/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/2/2000	1/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/17/1993	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/17/1993	6/23/2008