DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Heritage Bank	DOIID	398516	NAIC NPN	7220958

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	6/14/2017	11/1/2020
Inactive	Resident	Agent	Credit Life & Health	1/14/1993	8/7/2000
Inactive	Resident	Agent	Life	11/17/2014	11/1/2020
* 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	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	1/14/1993	1/31/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	2/2/1996	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	11/17/2014	11/1/2020
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/1/2012	5/1/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Augsback, Justin Matthew	658653	Agent - Life	5/1/2012	3/31/2014
Inactive	Dyer, Jo Sharon	314621	Agent - Limited Line Credit	5/1/2012	2/28/2017
Inactive	Jahnke, Beverly Ann	383766	Agent - Credit Life & Health	1/31/1996	8/7/2000
Inactive	Jahnke, Beverly Ann	383766	Agent - Limited Line Credit		10/16/2012
Inactive	Kinman, Patricia Faye	383731	Agent - Life	11/17/2014	8/31/2020
Inactive	Kinman, Patricia Faye	383731	Agent - Limited Line Credit	6/14/2017	8/31/2020
Inactive	Lancaster, Donna Kaye	339608	Agent - Credit Life & Health	1/31/1996	8/7/2000
Inactive	Lancaster, Donna Kaye	339608	Agent - Limited Line Credit	8/7/2000	3/31/2007
Inactive	McClanahan, Linda C	315031	Agent - Credit Life & Health	1/31/1996	8/7/2000
Inactive	McClanahan, Linda C	315031	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	McNeely, Lee Kirtley	373071	Agent - Credit Life & Health	1/31/1996	8/7/2000
Inactive	McNeely, Lee Kirtley	373071	Agent - Limited Line Credit	8/7/2000	12/31/2005
Inactive	Stephens, David K	363794	Agent - Credit Life & Health	1/31/1996	8/7/2000
Inactive	Stephens, David K	363794	Agent - Limited Line Credit	8/7/2000	1/31/2006