DEPARTMENT OF INSURANCE

Affiliations

Name	Hazan, Adel Aaron	DOIID	1060388	NAIC NPN	19241404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/10/2019		5/31/2027
* 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	03/15/2025	05/31/2025	05/15/2025	05/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/22/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/19/2020	1/20/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/22/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/16/2024	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/10/2022	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/16/2024	12/16/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/26/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/16/2024	12/16/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/19/2020	1/20/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/27/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/7/2022	5/16/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/15/2024
Active	Humana Insurance Company	301104	Agent - Health	10/17/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/22/2020	1/5/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/13/2024
Active	SilverScript Insurance Company	663526	Agent - Health	1/22/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/15/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/15/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/11/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/15/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/29/2019	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/4/2019	2/18/2022