DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayes, Glenn	DOIID	1040465	NAIC NPN	7129665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/15/2019		7/31/2026
Active	Non Resident	Agent	Life	5/15/2019		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	05/23/2024	05/23/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/1/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/1/2020
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/1/2020
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Life	4/26/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Health	4/26/2024