DEPARTMENT OF INSURANCE

Affiliations

Name	Heiser, Scott R	DOIID	385313	NAIC NPN	1285410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/13/2006	11/30/2023
Inactive	Non Resident	Agent	Health Maintenance Organization	7/30/1997	3/1/2001
Inactive	Non Resident	Agent	Health	3/13/2006	11/30/2023
Denied	Resident	Life & Health Consultant	Not Applicable
* 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	Aetna Health Inc.	300694	Agent - Health	5/22/2006	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	6/20/2000	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	6/28/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/22/2006	6/28/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/22/2006	6/28/2017
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/19/2005	11/30/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/19/2005	11/30/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/9/2011	5/4/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/9/2011	5/4/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	8/30/2011	1/8/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	8/30/2011	1/8/2018
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/29/2011	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/29/2011	12/31/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/29/2011	11/30/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/29/2011	11/30/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/1/2006	11/30/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/1/2006	11/30/2023
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/9/2007	9/26/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/9/2007	9/26/2011
Inactive	Avemco Insurance Company	300669	Agent - Health	2/19/2002	6/15/2005
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	11/30/2005
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	7/30/1997	3/1/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/29/2011	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/29/2011	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/29/2011	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/12/1997	11/30/2005
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/12/1997	11/30/2005
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	11/30/2005
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	11/30/2005
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2007	12/8/2015
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	10/1/1996	11/11/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	10/1/1996	11/11/2003
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/20/2016	11/30/2023
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/20/2016	11/30/2023
Inactive	HCC Life Insurance Company	301827	Agent - Health	2/19/2002	11/30/2005
Inactive	HCC Life Insurance Company	301827	Agent - Life	2/19/2002	11/30/2005
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	9/20/2004	11/30/2005
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	9/20/2004	11/30/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/12/2007	12/30/2023
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/12/2007	12/30/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/29/2011	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/17/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	12/26/2016	5/26/2017
Inactive	Humana Insurance Company	301104	Agent - Life	12/26/2016	5/26/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/29/2011	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/29/2011	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/29/2011	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/29/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	5/26/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	5/26/2017
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/29/2010	11/30/2023
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/29/2010	11/30/2023
Inactive	Medical Life Insurance Company	300693	Agent - Health	1/31/1998	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	1/31/1998	12/31/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/6/2007	12/15/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/6/2007	12/15/2014
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	5/26/1999	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	5/26/1999	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	5/26/1999	3/1/2001
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	8/19/2016	11/30/2023
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	8/19/2016	11/30/2023
Inactive	Principal Life Insurance Company	300129	Agent - Health	11/13/2000	11/30/2005
Inactive	Principal Life Insurance Company	300129	Agent - Life	11/13/2000	11/30/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/26/2018	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/26/2018	10/8/2021
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/10/1997	12/17/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/10/1997	12/17/2004
Inactive	Starmount Life Insurance Company	628031	Agent - Health	11/26/2018	10/8/2021
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	2/23/2009	12/21/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	2/23/2009	12/21/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/29/2009	11/9/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/29/2009	11/9/2010
Inactive	Trustmark Insurance Company	300317	Agent - Health	4/29/1998	11/13/2003
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/29/1998	11/13/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/26/2018	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/26/2018	10/8/2021
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	12/9/1999	2/20/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	12/9/1999	2/20/2001
Inactive	Union Security Insurance Company	301844	Agent - Health	11/21/1995	11/30/2005
Inactive	Union Security Insurance Company	301844	Agent - Life	11/21/1995	11/30/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/11/2006	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/11/2006	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/11/2006	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/11/2006	12/14/2009
Inactive	Unum Insurance Company	301499	Agent - Health	11/26/2018	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Life	11/26/2018	10/8/2021

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	6/25/1999	11/30/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1999	11/30/2005
Inactive	Assured Nl Ins Services Inc	769431	Agent - Life	6/20/2012	9/7/2022
Inactive	Assured Nl Ins Services Inc	769431	Agent - Health	6/20/2012	9/7/2022
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	9/22/2011	9/27/2021
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	9/22/2011	9/27/2021
Inactive	Benesolv LLC	716919	Agent - Life	11/2/2009	3/31/2013
Inactive	Benesolv LLC	716919	Agent - Health	11/2/2009	3/31/2013
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/26/2011	7/21/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	11/30/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	11/30/2023
Inactive	Neace & Associates Insurance Agency of OH, Inc.	521908	Agent - Life	7/10/2006	3/31/2013
Inactive	Neace & Associates Insurance Agency of OH, Inc.	521908	Agent - Health	7/10/2006	3/31/2013