DEPARTMENT OF INSURANCE

Affiliations

Name	Hettich, Lane Denali	DOIID	703713	NAIC NPN	13617715

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/5/2013	10/31/2024
Active	Non Resident	Agent	Property	8/9/2018	10/31/2024
Active	Non Resident	Agent	Casualty	8/8/2018	10/31/2024
Active	Non Resident	Agent	Life	2/5/2013	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	All Savers Insurance Company	301940	Agent - Health	9/27/2022	10/31/2022
Inactive	All Savers Insurance Company	301940	Agent - Life	9/27/2022	10/31/2022
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/1/2014
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/1/2014
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	2/20/2023	12/20/2023
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	2/20/2023	12/20/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	2/23/2014	11/2/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/23/2014	11/2/2018
Active	American United Life Insurance Company	300498	Agent - Health	11/1/2018
Active	American United Life Insurance Company	300498	Agent - Life	11/1/2018
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	2/20/2023	12/20/2023
Inactive	American Zurich Insurance Company	300592	Agent - Property	2/20/2023	12/20/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	6/5/2013
Active	Anthem Life Insurance Company	301209	Agent - Life	6/5/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/23/2011	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/23/2011	12/22/2011
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/27/2013
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/27/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	11/1/2010
Active	CompBenefits Insurance Company	301864	Agent - Health	12/1/2020
Inactive	Dental Care Plus Inc.	301495	Agent - Health	12/20/2018	3/17/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	11/14/2018
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	6/27/2018
Active	Guardian Life Insurance Company of America	301316	Agent - Health	4/30/2019
Active	Guardian Life Insurance Company of America	301316	Agent - Life	4/30/2019
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/30/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/30/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	10/22/2018
Active	Humana Insurance Company	301104	Agent - Health	10/11/2018
Active	Humana Insurance Company	301104	Agent - Life	10/11/2018
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	10/22/2018
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	10/22/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/30/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/30/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/19/2010	11/1/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/19/2010	11/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/27/2009	11/1/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/27/2009	11/1/2010
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/25/2013	10/29/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/14/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/14/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/29/2014	6/29/2018
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/29/2014	6/29/2018
Active	Standard Insurance Company	300185	Agent - Health	7/18/2018
Active	Standard Insurance Company	300185	Agent - Life	7/18/2018
Inactive	Superior Dental Care Inc.	300418	Agent - Health	4/27/2010	11/1/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/16/2011	11/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/16/2011	11/1/2012
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	2/20/2023	12/20/2023
Inactive	Zurich American Insurance Company	301121	Agent - Property	2/20/2023	12/20/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	2/20/2023	12/20/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	2/20/2023	12/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/15/2009	11/1/2010
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/15/2009	11/1/2010
Inactive	Assuredpartners Nl, Llc	762387	Agent - Health	6/28/2018	6/27/2022
Inactive	Assuredpartners Nl, Llc	762387	Agent - Life	6/28/2018	6/27/2022
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	1/20/2010	11/1/2010
Active	Designated Agent Company Inc.	681257	Agent - Health	6/5/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	6/5/2013