DEPARTMENT OF INSURANCE

Affiliations

Name	Heiss Insurance Agency, LLC	DOIID	502137	NAIC NPN	7223055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	3/3/2014
Inactive	Resident	Agent	Life	12/31/1999	3/3/2014
Inactive	Resident	Agent	Property	8/15/2000	3/3/2014
Inactive	Resident	Agent	Health	12/31/1999	3/3/2014
Inactive	Resident	Agent	General Lines	12/31/1999	8/15/2000
* 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	3/24/2008	9/28/2010
Inactive	AIG Assurance Company	300897	Agent - Property	3/24/2008	9/28/2010
Denied	Allianz Life Insurance Company of North America	301791	Agent - Health
Denied	Allianz Life Insurance Company of North America	301791	Agent - Life
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	6/14/2001	7/24/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	4/18/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	7/28/2000	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	4/18/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/8/2007	3/3/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/8/2007	3/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	12/9/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	7/28/2000	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	12/9/2009
Denied	Conseco Insurance Company	301202	Agent - Life
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	9/22/2007	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	9/22/2007	8/23/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/5/2002	2/4/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/5/2002	2/4/2013
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/14/2000	12/20/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/16/2009	3/3/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/16/2009	3/3/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/16/2012	3/3/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/16/2012	3/3/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/16/2012	3/3/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/16/2012	3/3/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/22/2007	3/17/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/22/2007	3/17/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	8/15/2000	9/28/2010
Inactive	Granite State Insurance Company	300818	Agent - General Lines	6/27/2000	8/15/2000
Inactive	Granite State Insurance Company	300818	Agent - Property	8/15/2000	9/28/2010
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/29/2011	3/3/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/29/2011	3/3/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/18/2012	3/3/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/18/2012	3/3/2014
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	9/28/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	9/28/2010
Denied	LifeUSA Insurance Company	300386	Agent - Health
Denied	LifeUSA Insurance Company	300386	Agent - Life
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	5/2/2002	12/6/2007
Inactive	Lincoln General Insurance Company	301580	Agent - Property	5/2/2002	12/6/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	12/5/2002	2/4/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	12/5/2002	2/4/2013
Inactive	Omni Indemnity Company	301456	Agent - Casualty	12/28/2009	3/3/2014
Inactive	Omni Indemnity Company	301456	Agent - Property	12/28/2009	3/3/2014
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	12/31/1999	4/27/2007
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	12/31/1999	4/27/2007
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	2/5/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	2/5/2011
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	5/2/2002	11/1/2002
Inactive	QBE Insurance Corporation	300515	Agent - Property	5/2/2002	11/1/2002
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/12/2008	3/3/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	2/12/2008	3/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	4/18/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	7/28/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	4/18/2013
Inactive	Star Casualty Insurance Company	681448	Agent - Casualty	7/2/2010	12/30/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	4/18/2013
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	7/28/2000	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	4/18/2013
Inactive	Titan Indemnity Company	300556	Agent - Casualty	3/3/2011	3/3/2014
Inactive	Titan Indemnity Company	300556	Agent - Property	3/3/2011	3/3/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	3/3/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	3/3/2014
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/15/2000	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/15/2000	10/1/2008
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	4/18/2013
Inactive	TravCo Insurance Company	301828	Agent - General Lines	7/28/2000	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	4/18/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/23/2007	4/18/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/23/2007	4/18/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	12/9/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	12/31/1999	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	12/9/2009
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	6/12/2008	12/5/2012
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	10/15/2008	12/5/2012
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/8/2007	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/8/2007	8/23/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/6/2007	3/3/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/6/2007	3/3/2014
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/2/2012
Inactive	Western Surety Company	300283	Agent - General Lines	3/2/2000	8/15/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Haley, Christy Lynn	608480	Agent - Casualty	7/11/2005	11/10/2011
Inactive	Haley, Christy Lynn	608480	Agent - Property	7/11/2005	11/10/2011
Inactive	Heiss, Judith Daniels	534034	Agent - Casualty	12/29/2003	10/2/2012
Inactive	Heiss, Judith Daniels	534034	Agent - Property	12/29/2003	10/2/2012
Inactive	Heiss, Peter Gregory	336735	Agent - Casualty	8/15/2000	3/3/2014
Inactive	Heiss, Peter Gregory	336735	Agent - General Lines	12/31/1999	8/15/2000
Inactive	Heiss, Peter Gregory	336735	Agent - Health	12/31/1999	3/3/2014
Inactive	Heiss, Peter Gregory	336735	Agent - Life	12/31/1999	3/3/2014
Inactive	Heiss, Peter Gregory	336735	Agent - Property	8/15/2000	3/3/2014

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	4/3/2000	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/3/2000	12/31/2001