DEPARTMENT OF INSURANCE

Affiliations

Name	Heller, Jack Victor	DOIID	582799	NAIC NPN	612926

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/18/2008	12/2/2011
Inactive	Non Resident	Agent	Health	3/18/2008	12/2/2011
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/10/2009	12/2/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/10/2009	12/2/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/10/2009	12/2/2011
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/20/2010	9/29/2011
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/20/2010	9/29/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/25/2011	12/2/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2011	12/2/2011
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	9/1/2010	10/26/2011
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	9/1/2010	10/26/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/15/2010	12/2/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/15/2010	12/2/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/24/2009	12/2/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/24/2009	12/2/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/22/2011	12/2/2011
Inactive	Humana Insurance Company	301104	Agent - Health	3/22/2011	12/2/2011
Inactive	Humana Insurance Company	301104	Agent - Life	3/22/2011	12/2/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/22/2011	12/2/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/22/2011	12/2/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/27/2009	12/2/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/27/2009	12/2/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/25/2011	12/2/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/25/2011	12/2/2011
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	8/13/2009	9/29/2011
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	8/13/2009	9/29/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	6/1/2011	11/2/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/1/2011	11/2/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/17/2011	11/14/2011
Inactive	United American Insurance Company	300910	Agent - Health	10/25/2008	12/2/2011
Inactive	United American Insurance Company	300910	Agent - Life	10/25/2008	12/2/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/17/2011	11/28/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/17/2011	11/28/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	7/23/2009	1/20/2012
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	7/23/2009	1/20/2012