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DEPARTMENT OF INSURANCE
Affiliations
Name
Heyburn II, William
DOIID
390218
NAIC NPN
1442127
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
9/6/2001
9/30/2012
Inactive
Resident
Agent
Health Maintenance Organization
3/14/2000
3/1/2001
Inactive
Resident
Agent
Health
6/3/1987
9/30/2012
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
9/30/2012
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Health Inc.
300694
Agent - Health
10/4/2002
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
9/22/2010
Inactive
Aetna Life Insurance Company
301140
Agent - Health
7/18/1996
9/22/2010
Inactive
Aetna Life Insurance Company
301140
Agent - Life
9/6/2001
9/22/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
12/20/2001
2/5/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
12/20/2001
2/5/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
12/20/2001
2/5/2010
Inactive
Allied Life Insurance Company
301294
Agent - Health
3/10/1999
1/1/2000
Inactive
Allied Life Insurance Company
301294
Agent - Life
3/10/1999
1/1/2000
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
1/25/2002
8/26/2008
Inactive
American General Life Insurance Company
301585
Agent - Health
9/16/2005
5/6/2009
Inactive
American General Life Insurance Company
301585
Agent - Life
9/16/2005
5/6/2009
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
9/16/2005
5/6/2009
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
10/28/1994
3/19/2003
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
10/28/1994
3/19/2003
Inactive
Athene Annuity and Life Company
301893
Agent - Life
4/13/2011
10/30/2012
Inactive
Augustar Life Assurance Corporation
301113
Agent - Health
9/30/1999
3/10/2007
Inactive
Augustar Life Assurance Corporation
301113
Agent - Life
7/9/1999
7/27/1999
Inactive
Augustar Life Insurance Company
301816
Agent - Health
9/30/1999
3/10/2007
Inactive
Augustar Life Insurance Company
301816
Agent - Life
7/9/1999
7/27/1999
Inactive
Bankers Life and Casualty Company
300701
Agent - Health
11/22/1995
3/31/1997
Inactive
Bankers Life and Casualty Company
300701
Agent - Life
11/22/1995
3/31/1997
Inactive
Banner Life Insurance Company
301696
Agent - Health
11/25/1997
9/30/2012
Inactive
Banner Life Insurance Company
301696
Agent - Life
1/10/2011
9/30/2012
Inactive
Berkshire Life Insurance Company
301158
Agent - Health
9/5/2000
7/1/2001
Inactive
Berkshire Life Insurance Company
301158
Agent - Life
9/5/2000
7/1/2001
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
6/27/2001
10/10/2012
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
9/6/2001
10/10/2012
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
12/7/2007
2/9/2010
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
2/9/2010
Inactive
Centre Life Insurance Company
300341
Agent - Health
5/3/1996
3/31/1999
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
8/7/2000
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
9/6/2001
4/1/2007
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
9/6/2001
12/17/2004
Inactive
Continental Casualty Company
301019
Agent - Health
12/15/1997
10/29/2002
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
12/31/2004
12/30/2009
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
12/31/2004
12/30/2009
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Health
5/21/2004
7/5/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
5/21/2004
7/5/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
5/21/2004
5/26/2006
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Health
6/3/1987
7/5/2011
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
9/6/2001
7/5/2011
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
5/31/2001
5/26/2006
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
2/1/2002
9/30/2012
Inactive
First Colony Life Insurance Company
301179
Agent - Health
9/17/1991
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
9/6/2001
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
9/25/1997
12/12/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
9/6/2001
12/24/2008
Inactive
General American Life Insurance Company
300280
Agent - Health
12/26/2006
11/14/2009
Inactive
General American Life Insurance Company
300280
Agent - Life
12/26/2006
11/14/2009
Inactive
Genworth Life Insurance Company
300623
Agent - Health
5/10/2007
1/8/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
5/10/2007
1/8/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
1/8/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
1/8/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
11/9/2005
11/10/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
3/28/2005
11/10/2008
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
1/22/2002
1/11/2012
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
1/22/2002
1/11/2012
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
8/20/1997
10/10/2012
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
9/6/2001
10/10/2012
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
3/3/2000
12/18/2001
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
3/3/2000
12/18/2001
Inactive
Integrity Life Insurance Company
301687
Agent - Health
2/14/1998
11/14/2008
Inactive
Integrity Life Insurance Company
301687
Agent - Life
9/6/2001
11/14/2008
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
8/20/2001
11/14/2008
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
9/6/2001
2/3/2005
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
3/26/2001
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
9/6/2001
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
6/26/2004
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
6/26/2004
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
6/26/2004
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
6/26/2004
4/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
5/9/2002
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
5/9/2002
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
5/2/2002
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/19/2008
4/18/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
10/20/2003
4/18/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
10/20/2003
4/18/2012
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
5/9/2002
12/12/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
5/9/2002
12/12/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
5/2/2002
12/20/2006
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
4/12/2004
12/18/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
4/12/2004
12/18/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
4/12/2004
12/18/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/24/2003
4/3/2012
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/24/2003
4/3/2012
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/22/2007
4/3/2012
Inactive
MONY Life Insurance Company
301141
Agent - Health
6/3/1987
7/5/2011
Inactive
MONY Life Insurance Company
301141
Agent - Life
9/6/2001
7/5/2011
Inactive
Manhattan Life Insurance Company
300880
Agent - Life
4/18/1996
3/31/1997
Inactive
Manhattan National Life Insurance Company
301011
Agent - Health
11/17/1994
4/9/2001
Inactive
Manhattan National Life Insurance Company
301011
Agent - Life
11/17/1994
4/9/2001
Inactive
Medical Life Insurance Company
300693
Agent - Health
5/22/2000
12/31/2004
Inactive
Medical Life Insurance Company
300693
Agent - Life
9/6/2001
12/31/2004
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
10/14/2005
11/14/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
10/14/2005
11/14/2009
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
7/28/1998
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
9/6/2001
12/7/2007
Inactive
Metropolitan Insurance and Annuity Company
301239
Agent - Health
7/17/1992
3/31/1997
Inactive
Metropolitan Insurance and Annuity Company
301239
Agent - Life
7/17/1992
3/31/1997
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
3/13/1989
11/20/2012
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
9/6/2001
11/20/2012
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
1/4/2002
9/1/2010
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
12/21/1994
3/31/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
12/21/1994
3/31/2001
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
5/22/2001
9/30/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
7/29/2008
12/9/2010
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
7/29/2008
12/9/2010
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
7/29/2008
12/9/2010
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
9/6/2001
10/18/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Life
11/7/2002
5/25/2012
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
11/7/2002
5/25/2012
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
1/14/1998
5/6/2005
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
9/6/2001
5/6/2005
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
6/11/1998
8/9/2001
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
6/11/1998
8/9/2001
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/19/2000
9/30/2012
Inactive
Principal Life Insurance Company
300129
Agent - Life
9/6/2001
9/30/2012
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
6/3/2005
9/30/2012
Inactive
Principal National Life Insurance Company
301926
Agent - Life
7/29/2010
9/30/2012
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
11/23/2009
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
11/23/2009
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
10/20/1994
12/30/2009
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
9/6/2001
12/30/2009
Inactive
Pruco Life Insurance Company
300954
Agent - Health
12/9/2002
9/30/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Life
12/9/2002
9/30/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
8/3/2005
9/30/2012
Inactive
Prudential Insurance Company of America
300784
Agent - Health
11/4/1998
9/30/2012
Inactive
Prudential Insurance Company of America
300784
Agent - Life
9/6/2001
9/30/2012
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
4/3/1997
9/16/2004
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
1/1/2000
4/28/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
1/1/2000
4/28/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
9/6/2001
9/16/2004
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
11/9/2009
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
10/1/2003
11/9/2009
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Health
7/29/1999
9/30/2012
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
9/6/2001
9/30/2012
Inactive
Security Mutual Life Insurance Company of NY
300708
Agent - Health
3/18/2005
7/3/2008
Inactive
Security Mutual Life Insurance Company of NY
300708
Agent - Life
3/18/2005
7/3/2008
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
6/19/1991
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
6/19/1991
10/1/2003
Inactive
Standard Insurance Company
300185
Agent - Health
3/19/2001
9/30/2012
Inactive
Standard Insurance Company
300185
Agent - Life
9/6/2001
9/30/2012
Inactive
State Life Insurance Company
301497
Agent - Health
1/9/2004
7/15/2005
Inactive
State Life Insurance Company
301497
Agent - Life
1/9/2004
7/15/2005
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
12/7/2010
9/30/2012
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
12/7/2010
9/30/2012
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Health
8/25/2004
12/15/2006
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Life
8/25/2004
12/15/2006
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
6/20/1995
12/23/1998
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
4/23/1992
2/10/2007
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
9/6/2001
2/10/2007
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
2/14/2002
2/10/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
2/14/2002
2/10/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
2/14/2002
2/10/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
2/14/2002
2/10/2007
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/1/2008
1/18/2011
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
9/6/2001
8/17/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
3/27/1997
8/17/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
3/27/2007
10/1/2008
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
5/22/2002
9/27/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
9/29/1992
12/30/2009
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
9/6/2001
12/30/2009
Inactive
Union Central Life Insurance Company
300307
Agent - Health
12/4/2006
3/5/2010
Inactive
Union Central Life Insurance Company
300307
Agent - Life
12/4/2006
3/5/2010
Inactive
Union Fidelity Life Insurance Company
301136
Agent - Health
2/23/1999
10/17/2002
Inactive
Union Fidelity Life Insurance Company
301136
Agent - Life
2/23/1999
10/17/2002
Inactive
Union Security Insurance Company
301844
Agent - Health
10/1/1991
9/30/2012
Inactive
Union Security Insurance Company
301844
Agent - Life
9/6/2001
9/30/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/29/2001
9/30/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
9/6/2001
9/30/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
4/12/2000
11/22/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
9/6/2001
11/22/2005
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/1/2001
11/22/2005
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
3/14/2000
3/1/2001
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
6/27/1996
9/30/2012
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
9/6/2001
9/30/2012
Inactive
West Coast Life Insurance Company
301607
Agent - Health
12/13/1999
11/19/2001
Inactive
West Coast Life Insurance Company
301607
Agent - Life
12/13/1999
11/19/2001
Inactive
300277
Agent - Health
7/25/1995
1/1/2007
Inactive
300277
Agent - Life
9/6/2001
1/1/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Planchoice Inc.
400482
Agent - Life
3/5/2003
9/30/2012
Inactive
Planchoice Inc.
400482
Agent - Health
3/5/2003
9/30/2012
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