DEPARTMENT OF INSURANCE

Affiliations

Name	Heritage Financial Group LLC	DOIID	836208	NAIC NPN	17216644

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/20/2014	3/31/2020
Inactive	Non Resident	Agent	Health	3/20/2014	3/31/2020
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2016	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/28/2016	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/28/2016	10/20/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/8/2017	12/18/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/8/2017	12/18/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/8/2014	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/8/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/6/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/6/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	12/6/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/20/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/20/2018	6/15/2018
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/28/2015	3/31/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/28/2015	3/31/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/8/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/8/2014	12/5/2014
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/7/2017	3/31/2020
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/7/2017	3/31/2020
Inactive	Principal National Life Insurance Company	301926	Agent - Life	7/24/2017	3/31/2020
Inactive	Standard Insurance Company	300185	Agent - Health	3/20/2014	3/31/2020
Inactive	Standard Insurance Company	300185	Agent - Life	3/20/2014	3/31/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Botts, Stephen Franklin	341048	Agent - Health	3/20/2014	3/31/2020
Inactive	Botts, Stephen Franklin	341048	Agent - Life	3/20/2014	3/31/2020