DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Heiser Insurance Agency, Inc.	DOIID	552995	NAIC NPN	958157

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/9/2002	3/31/2010
Inactive	Non Resident	Agent	Property	7/9/2002	3/31/2010
* 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	Cincinnati Insurance Company	301298	Agent - Casualty	7/9/2002	9/1/2009
Inactive	Cincinnati Insurance Company	301298	Agent - Property	7/9/2002	9/1/2009
Inactive	Everest National Insurance Company	301319	Agent - Casualty	7/28/2004	11/15/2006
Inactive	Everest National Insurance Company	301319	Agent - Property	7/28/2004	11/15/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gregurich, Brad Andrew	314456	Agent - Casualty	7/9/2002	3/31/2010
Inactive	Gregurich, Brad Andrew	314456	Agent - Property	7/9/2002	3/31/2010