DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Heim III, Jesse	DOIID	517387	NAIC NPN	1109569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/8/2001	2/28/2011
Inactive	Non Resident	Agent	Life	1/8/2001	2/28/2011
* 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	Bankers Life Insurance Company	301784	Agent - Health	10/6/2003	12/1/2004
Inactive	Bankers Life Insurance Company	301784	Agent - Life	10/6/2003	12/1/2004
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/12/2010	2/28/2011
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	4/12/2004	2/16/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/12/2004	2/16/2009
Inactive	HM Life Insurance Company	301408	Agent - Health	9/25/2007	2/28/2011
Inactive	HM Life Insurance Company	301408	Agent - Life	9/25/2007	2/28/2011
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	3/26/2004	6/8/2006
Inactive	New York Life Insurance Company	300431	Agent - Health	7/31/2007	2/28/2011
Inactive	New York Life Insurance Company	300431	Agent - Life	7/31/2007	2/28/2011
Inactive	Time Insurance Company	300683	Agent - Health	10/27/2003	2/15/2011
Inactive	Time Insurance Company	300683	Agent - Life	10/27/2003	2/15/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	4/20/2006	3/30/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	4/20/2006	3/30/2011
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/9/2004	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/9/2004	6/11/2007
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	6/10/2002	6/8/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBCA Insurance Services, Inc.	399921	Agent - Life	11/27/2006	2/28/2011
Inactive	CBCA Insurance Services, Inc.	399921	Agent - Health	11/27/2006	2/28/2011