DEPARTMENT OF INSURANCE

Affiliations

Name	Heistand-Bro, Mary Lorene	DOIID	543557	NAIC NPN	1634130

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	2/28/2002	2/24/2010
Inactive	Non Resident	Agent	Life	9/30/2002	12/31/2017
Inactive	Non Resident	Agent	Casualty	2/28/2002	2/24/2010
Inactive	Non Resident	Agent	Health	9/30/2002	12/31/2017
Inactive	Non Resident	Agent	Personal Lines	6/2/2010	12/31/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	12/30/2008	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/30/2008	12/31/2017
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	7/25/2007	8/11/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	7/25/2007	8/11/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/17/2006	7/26/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/17/2006	7/26/2010
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	1/29/2008	11/15/2010
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	1/29/2008	11/15/2010
Inactive	Centre Insurance Company	301599	Agent - Casualty	2/28/2002	12/1/2005
Inactive	Centre Insurance Company	301599	Agent - Property	2/28/2002	12/1/2005
Denied	Chase Insurance Life and Annuity Company	300518	Agent - Life
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/1/2011	9/3/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/19/2008	9/9/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/19/2008	9/9/2010
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/27/2008	6/11/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/10/2008	8/31/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/1/2011	9/3/2013
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	3/19/2004	2/24/2010
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	3/19/2004	2/24/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	2/11/2003	2/24/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	2/11/2003	2/24/2010
Inactive	First Colony Life Insurance Company	301179	Agent - Health	7/22/2003	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/22/2003	12/20/2006
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/5/2011	12/31/2017
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	11/4/2002	10/25/2004
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	11/4/2002	10/25/2004
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	9/3/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/21/2011	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	2/21/2011	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	2/21/2011	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/21/2011	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/21/2011	9/3/2013
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	2/9/2018
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	10/28/2003	6/8/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/1/2011	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/1/2011	9/3/2013
Inactive	Liberty Life Insurance Company	301542	Agent - Health	11/26/2002	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	11/26/2002	6/30/2006
Inactive	Merastar Insurance Company	301363	Agent - Casualty	6/13/2008	2/24/2010
Inactive	Merastar Insurance Company	301363	Agent - Personal Lines	6/9/2010	12/31/2017
Inactive	Merastar Insurance Company	301363	Agent - Property	6/13/2008	2/24/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/29/2007	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	2/1/2013	12/23/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/17/2009	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	4/17/2009	7/17/2012
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	4/17/2007	3/22/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/17/2007	3/22/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	8/29/2007	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/29/2007	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/29/2007	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/17/2009	3/7/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/17/2009	12/31/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	3/7/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/8/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	3/7/2017
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	12/19/2002	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	QBE First Enterprises LLC	610980	Agent - Casualty	7/29/2005	2/24/2010
Inactive	QBE First Enterprises LLC	610980	Agent - Health	4/17/2006	6/28/2010
Inactive	QBE First Enterprises LLC	610980	Agent - Life	4/17/2006	6/28/2010
Inactive	QBE First Enterprises LLC	610980	Agent - Property	7/29/2005	2/24/2010
Inactive	Retirement Ins Specialists Agency LLC	735077	Agent - Health	8/23/2010	3/31/2016
Inactive	Retirement Ins Specialists Agency LLC	735077	Agent - Life	8/23/2010	3/31/2016
Inactive	Retirement Ins Specialists Agency LLC	735077	Agent - Personal Lines	8/23/2010	3/31/2016