DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hartsfield Jr, William Harrison	DOIID	1080622	NAIC NPN	8586565

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/8/2020		8/31/2025
Active	Non Resident	Agent	Life	4/8/2020		8/31/2025
* 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	06/15/2025	08/31/2025

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	5/15/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/15/2020
Active	Aetna Life Insurance Company	301140	Agent - Life	5/15/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/23/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/23/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	5/23/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	5/23/2022
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	11/15/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Health	11/15/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Life	11/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cobbs-Allen & Hall Inc	558855	Agent - Life	4/9/2024
Active	Cobbs-Allen & Hall Inc	558855	Agent - Health	4/9/2024