DEPARTMENT OF INSURANCE

Affiliations

Name	Heierman, William Alan	DOIID	372436	NAIC NPN	7201207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	10/19/1992	7/1/1998
Inactive	Resident	Agent	Health Maintenance Organization	7/13/1995	7/1/1998
Inactive	Resident	Agent	Life	10/19/1992	7/1/1998
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/12/1996	7/1/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/12/1996	7/1/1998
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	7/13/1995	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/6/1995	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/6/1995	7/1/1998
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	6/25/1997	1/5/1998
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	6/25/1997	1/5/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/28/1996	7/1/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/28/1996	7/1/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Health	3/13/1996	7/1/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Life	3/13/1996	7/1/1998
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	4/1/1996	7/1/1998
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	7/1/1994	2/23/1996
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	7/1/1994	2/23/1996
Inactive	Nassau Life Insurance Company	301406	Agent - Health	4/25/1996	7/1/1998
Inactive	Nassau Life Insurance Company	301406	Agent - Life	4/25/1996	7/1/1998
Inactive	National Western Life Insurance Company	301515	Agent - Health	3/5/1996	7/1/1998
Inactive	National Western Life Insurance Company	301515	Agent - Life	3/5/1996	7/1/1998
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	10/21/1997	1/26/1998
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	10/21/1997	1/26/1998
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Health	11/25/1997	3/2/1998
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Life	11/25/1997	3/2/1998
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/19/1992	7/1/1998
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/19/1992	7/1/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/23/1997	7/1/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/23/1997	7/1/1998
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	1/31/1997	7/1/1998
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	1/31/1997	7/1/1998
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	1/31/1997	7/1/1998
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	1/31/1997	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	7/21/1995	7/1/1998
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	7/21/1995	7/1/1998