DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Source One Group LLC	DOIID	839070	NAIC NPN	17248712

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/12/2019		3/31/2026
Active	Non Resident	Agent	Health	4/12/2019		3/31/2026
* 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
Active	Heartland National Life Insurance Company	948749	Agent - Health	7/18/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hill, Todd Chadrick	803580	Agent - Health	3/16/2023
Active	Hill, Todd Chadrick	803580	Agent - Life	3/16/2023
Inactive	McDaniel, Christopher M	535163	Agent - Health	3/31/2018	3/16/2023
Inactive	McDaniel, Christopher M	535163	Agent - Life	3/31/2018	3/16/2023