DEPARTMENT OF INSURANCE

Affiliations

Name	Heineman, Michael Joseph	DOIID	361071	NAIC NPN	7196323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/11/2004	12/1/2016
Inactive	Resident	Agent	Property	8/15/2000	12/1/2016
Inactive	Resident	Agent	Casualty	8/15/2000	12/1/2016
Inactive	Resident	Agent	General Lines	3/24/1999	8/15/2000
Inactive	Resident	Agent	Life	6/8/2004	12/1/2016
* 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	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	9/4/2010
Inactive	AIG Assurance Company	300897	Agent - General Lines	5/28/1999	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	9/4/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/23/2005	12/1/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/23/2005	12/1/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/1/2005	12/1/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/1/2005	12/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/28/2009	12/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/28/2009	12/1/2016
Inactive	Combined Insurance Company of America	301472	Agent - Health	11/20/2012	12/1/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/23/2004	12/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/7/2004	12/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/7/2004	12/1/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/31/2011	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/31/2011	12/17/2012
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/21/2005	9/4/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/21/2005	9/4/2010
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	11/27/2002	12/9/2015
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	11/27/2002	12/9/2015
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	11/27/2002	12/9/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	11/27/2002	12/9/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	11/27/2002	12/9/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	11/27/2002	12/9/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/6/2004	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	10/22/2004	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/22/2004	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/6/2004	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/6/2004	11/27/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/30/2003	9/4/2010
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	5/28/1999	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/30/2003	9/4/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/6/2004	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/6/2004	12/29/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/3/2009	5/7/2014
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/3/2009	5/7/2014
Inactive	MICO Insurance Company	301664	Agent - Casualty	8/15/2000	4/2/2014
Inactive	MICO Insurance Company	301664	Agent - General Lines	4/9/1999	8/15/2000
Inactive	MICO Insurance Company	301664	Agent - Property	8/15/2000	4/2/2014
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	1/14/2005	12/22/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	1/14/2005	12/22/2008
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/15/2000	12/1/2016
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	3/24/1999	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/15/2000	12/1/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/23/2009	12/15/2011
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	2/12/2009	9/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	2/12/2009	9/13/2012
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	1/27/2006	9/4/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	1/27/2006	9/4/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/25/2004	11/16/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/25/2004	11/16/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/25/2004	11/16/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/25/2004	11/16/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/25/2015	12/1/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/25/2015	12/1/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/25/2015	12/1/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/25/2015	12/1/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	11/16/2006
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	11/16/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/23/2009	12/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/23/2009	12/15/2011
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	2/17/2005	12/20/2006

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	3/15/2005	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/15/2005	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/29/2008	12/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/1/2014	12/1/2016
Inactive	Harold D Miller Insurance Agency, Inc	544474	Agent - Life	7/1/2008	12/1/2016
Inactive	Harold D Miller Insurance Agency, Inc	544474	Agent - Property	7/1/2008	12/1/2016
Inactive	Harold D Miller Insurance Agency, Inc	544474	Agent - Casualty	7/1/2008	12/1/2016
Inactive	Harold D Miller Insurance Agency, Inc	544474	Agent - Health	7/1/2008	12/1/2016
Inactive	Medlink Inc	400721	Agent - Life	1/28/2008	12/1/2016
Inactive	Medlink Inc	400721	Agent - Health	1/28/2008	12/1/2016