PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameHeritage Financial Group, LLC of TennesseeDOIID524834NAIC NPN5780928
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth8/15/20013/31/2013 
InactiveNon ResidentAgentLife8/15/20013/31/2013 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Fidelity Assurance Company301004Agent - Health1/28/200212/21/2005
InactiveAmerican Fidelity Assurance Company301004Agent - Life1/28/200212/21/2005
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/22/20023/31/2013
InactiveAnthem Insurance Companies, Inc.300941Agent - Health1/22/200210/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health1/18/20073/31/2013
InactiveAnthem Life Insurance Company301209Agent - Life1/18/20073/31/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Health5/18/200712/13/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life5/18/200712/13/2011
InactiveColonial Life and Accident Insurance Company300846Agent - Health11/15/20063/31/2013
InactiveColonial Life and Accident Insurance Company300846Agent - Life11/15/20063/31/2013
InactiveCompBenefits Dental, Inc.591692Agent - Health7/9/20103/31/2013
InactiveCompBenefits Insurance Company301864Agent - Health3/21/20113/31/2013
InactiveCompBenefits Insurance Company301864Agent - Life3/21/20113/31/2013
InactiveDental Concern Inc. (The)301641Agent - Health5/25/20073/31/2013
InactiveGuardian Life Insurance Company of America301316Agent - Health5/18/20074/10/2013
InactiveGuardian Life Insurance Company of America301316Agent - Life5/18/20074/10/2013
InactiveHumana Health Plan, Inc.300142Agent - Health12/7/20013/31/2013
InactiveHumana Insurance Company301104Agent - Health12/7/20013/31/2013
InactiveHumana Insurance Company301104Agent - Life12/7/20013/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/21/20113/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/21/20113/31/2013
InactiveHumanaDental Insurance Company301457Agent - Health5/14/20072/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life5/14/20072/23/2012
InactiveIllinois Mutual Life Insurance Company301479Agent - Health1/18/20113/31/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Life1/18/20113/31/2013
InactiveKanawha Insurance Company300127Agent - Health3/21/20113/31/2013
InactiveKanawha Insurance Company300127Agent - Life3/21/20113/31/2013
InactiveMetropolitan Life Insurance Company301948Agent - Health8/10/20063/31/2013
InactiveMetropolitan Life Insurance Company301948Agent - Life8/10/20063/31/2013
InactivePrincipal Life Insurance Company300129Agent - Health8/24/200711/20/2009
InactivePrincipal Life Insurance Company300129Agent - Life8/24/200711/20/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/12/20023/31/2013
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/12/20023/31/2013
InactiveStandard Insurance Company300185Agent - Health2/16/20053/31/2013
InactiveStandard Insurance Company300185Agent - Life2/16/20053/31/2013
InactiveUNUM Life Insurance Company of America300817Agent - Health8/15/20013/31/2013
InactiveUNUM Life Insurance Company of America300817Agent - Life8/15/20013/31/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBotts, Stephen Franklin 341048Agent - Health8/15/20013/31/2013
InactiveBotts, Stephen Franklin 341048Agent - Life8/15/20013/31/2013
InactiveBurroughs, Thomas Randall 308028Agent - Health1/18/20073/31/2013
InactiveBurroughs, Thomas Randall 308028Agent - Life1/18/20073/31/2013
InactiveDunn, Thomas Frederick 642871Agent - Health1/28/20093/31/2013
InactiveDunn, Thomas Frederick 642871Agent - Life1/28/20093/31/2013
InactiveStark, John E 514753Agent - Health1/16/20021/20/2005
InactiveStark, John E 514753Agent - Life1/16/20021/20/2005

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