DEPARTMENT OF INSURANCE

Affiliations

Name	Heartland Financial Services, Inc.	DOIID	399820	NAIC NPN	7221961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Prepaid Dental Plan	9/9/1996	3/1/2001
Inactive	Resident	Agent	Life	1/27/1989	3/31/2009
Inactive	Resident	Agent	Health Maintenance Organization	11/23/1993	3/1/2001
Inactive	Resident	Agent	Health	1/27/1989	3/31/2009
* 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	ADENTA, Inc.	301437	Agent - Health	3/1/2001	7/15/2002
Inactive	ADENTA, Inc.	301437	Agent - Prepaid Dental Plan	9/9/1996	3/1/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/1/2005	3/31/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/1/2005	3/31/2009
Inactive	American General Life Insurance Company	301585	Agent - Health	9/3/2002	3/31/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	9/3/2002	3/31/2009
Inactive	American States Insurance Company	301230	Agent - Health	8/30/1991	3/31/1998
Inactive	American States Life Insurance Company	301884	Agent - Life	9/11/1991	12/6/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/1/2001	3/31/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health Maintenance Organization	11/23/1993	3/1/2001
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	1/17/1996	2/10/2003
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	1/17/1996	2/10/2003
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	11/26/2004	11/7/2007
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/26/2004	11/7/2007
Inactive	Continental Casualty Company	301019	Agent - Health	4/28/1992	12/19/2002
Inactive	Country Investors Life Assurance Company	301973	Agent - Health	3/9/2006	3/31/2009
Inactive	Country Investors Life Assurance Company	301973	Agent - Life	3/9/2006	3/31/2009
Inactive	Country Life Insurance Company	300595	Agent - Health	3/9/2006	3/31/2009
Inactive	Country Life Insurance Company	300595	Agent - Life	3/9/2006	3/31/2009
Inactive	Dental Care Plus Inc.	301495	Agent - Health	10/7/2005	3/31/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/31/2009
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/1/1995	3/31/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/28/2007	3/31/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/28/2007	3/31/2009
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	9/8/1998	4/17/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	9/8/1998	4/17/2000
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/28/2005	3/31/2009
Inactive	Humana Insurance Company	301104	Agent - Health	3/28/2005	3/31/2009
Inactive	Humana Insurance Company	301104	Agent - Life	3/28/2005	3/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/28/2005	3/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/28/2005	3/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/30/2006	3/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/30/2006	3/31/2009
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	6/20/1989	7/11/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	6/20/1989	7/11/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/11/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/11/2000	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	11/6/2000	3/1/2005
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/3/2000	3/1/2005
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/20/1990	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/20/1990	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/29/2004	3/1/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/29/2004	3/1/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	3/20/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	3/20/2009
Inactive	MONY Life Insurance Company	301141	Agent - Health	5/1/1995	11/3/1999
Inactive	MONY Life Insurance Company	301141	Agent - Life	5/1/1995	11/3/1999
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/19/2004	3/31/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/19/2004	3/31/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/10/2006	3/31/2009
Inactive	New England Life Insurance Company	300343	Agent - Health	4/18/1996	12/28/2006
Inactive	New England Life Insurance Company	300343	Agent - Life	4/18/1996	12/28/2006
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	1/22/2001	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	1/22/2001	3/31/2003
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/29/1999	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/29/1999	12/11/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/3/1989	3/31/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/3/1989	3/31/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/12/2000	3/31/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/12/2000	3/31/2009
Inactive	Southland Life Insurance Company	301175	Agent - Health	5/14/2001	9/15/2004
Inactive	Southland Life Insurance Company	301175	Agent - Life	5/14/2001	9/15/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	2/1/1989	5/7/2008
Inactive	Symetra Life Insurance Company	301691	Agent - Life	2/1/1989	5/7/2008
Inactive	Transamerica Assurance Company	300893	Agent - Health	5/20/2002	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	5/20/2002	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/14/2004	12/20/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/14/2004	12/20/2006
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	12/7/1989	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/3/2001	12/20/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/3/2001	12/20/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/10/2002	4/4/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/10/2002	4/4/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/27/1989	3/31/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/27/1989	3/31/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	7/26/2000	3/31/2009
Inactive	Union Security Insurance Company	301844	Agent - Life	7/26/2000	3/31/2009
Inactive	United World Life Insurance Company	300532	Agent - Health	10/10/2006	3/31/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/13/1993	3/31/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/10/2006	3/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	11/5/1993	12/31/2001
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	11/5/1993	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/14/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/14/1999	12/31/2001
Inactive	Bailey, Ricka S	352560	Agent - Health	10/26/1992	7/1/1998
Inactive	Bailey, Ricka S	352560	Agent - Life	10/26/1992	7/1/1998
Inactive	Baker, Ryan Scott	548958	Agent - Health	10/13/2006	8/31/2008
Inactive	Baker, Ryan Scott	548958	Agent - Life	10/13/2006	8/31/2008
Inactive	Carey, Denise	359957	Agent - Health	6/3/1999	3/31/2009
Inactive	Carey, Denise	359957	Agent - Life	6/3/1999	3/31/2009
Inactive	Chandler, James Thomas	323702	Agent - Health	3/27/1991	4/18/1996
Inactive	Chandler, James Thomas	323702	Agent - Life	3/27/1991	4/18/1996
Inactive	Cornett, Brian Keith	303132	Agent - Health	11/30/1998	6/3/1999
Inactive	Cornett, Brian Keith	303132	Agent - Life	11/30/1998	6/3/1999
Inactive	Cox, Carl Wayne	359094	Agent - Health	1/23/1989	4/18/1996
Inactive	Cox, Carl Wayne	359094	Agent - Life	1/23/1989	4/18/1996
Inactive	Cravens, Timoleon Charles	350327	Agent - Health	1/23/1989	3/31/2009
Inactive	Cravens, Timoleon Charles	350327	Agent - Life	1/23/1989	3/31/2009
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	9/3/1999	3/1/2001
Inactive	Higdon, Robert A	389372	Agent - Health	12/19/1994	4/18/1996
Inactive	Higdon, Robert A	389372	Agent - Life	12/19/1994	4/18/1996
Inactive	Mills, Regina A	347663	Agent - Health	11/30/1998	6/3/1999
Inactive	Mills, Regina A	347663	Agent - Life	11/30/1998	6/3/1999
Inactive	Rice, Stephen Michael	338741	Agent - Health	4/7/1995	6/3/1999
Inactive	Rice, Stephen Michael	338741	Agent - Life	4/7/1995	6/3/1999
Inactive	Walker, Cindy Darlene	385034	Agent - Health	10/26/1992	3/31/2009
Inactive	Walker, Cindy Darlene	385034	Agent - Life	10/26/1992	3/31/2009