DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Heritagerm LLC	DOIID	913783	NAIC NPN	17838468

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/27/2016		3/31/2026
Active	Non Resident	Agent	Property	4/27/2016		3/31/2026
Active	Non Resident	Agent	Health	4/27/2016		3/31/2026
Active	Non Resident	Agent	Casualty	4/27/2016		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
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	4/6/2021	9/2/2022
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	4/6/2021	9/2/2022
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2017	10/25/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2017	10/25/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/28/2017	10/25/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/28/2017	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/28/2017	8/9/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Neely, Jeff Monroe	393246	Agent - Casualty	4/27/2016	7/4/2018
Active	Neely, Jeff Monroe	393246	Agent - Health	4/27/2016
Active	Neely, Jeff Monroe	393246	Agent - Life	4/27/2016
Inactive	Neely, Jeff Monroe	393246	Agent - Property	4/27/2016	7/4/2018
Active	Tatum, Diannah Fay	912035	Agent - Casualty	4/27/2016
Active	Tatum, Diannah Fay	912035	Agent - Health	4/27/2016
Active	Tatum, Diannah Fay	912035	Agent - Life	4/27/2016
Active	Tatum, Diannah Fay	912035	Agent - Property	4/27/2016