DEPARTMENT OF INSURANCE

Affiliations

Name	Heydenburg, Dan L	DOIID	621038	NAIC NPN	7152158

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/8/2016	10/31/2024
Active	Non Resident	Agent	Health	1/4/2015	10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/4/2015	10/26/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/9/2016	10/26/2018
Active	American General Life Insurance Company	301585	Agent - Health	4/22/2019
Active	American General Life Insurance Company	301585	Agent - Life	4/22/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/26/2019	7/22/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/26/2019	7/22/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/23/2016	12/13/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	10/12/2015	12/26/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/23/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/23/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/23/2016	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/25/2016	5/12/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/25/2016	5/12/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/30/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/30/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/19/2019	12/21/2021
Active	Starmount Life Insurance Company	628031	Agent - Health	10/30/2023
Active	Trustmark Insurance Company	300317	Agent - Health	10/18/2020
Active	Trustmark Insurance Company	300317	Agent - Life	10/18/2020
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/30/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/30/2023
Active	Unum Insurance Company	301499	Agent - Health	10/30/2023
Active	Unum Insurance Company	301499	Agent - Life	10/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/28/2019	7/23/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/28/2019	7/23/2021
Active	Optavise, LLC	671337	Agent - Health	9/18/2018
Active	Optavise, LLC	671337	Agent - Life	9/18/2018