DEPARTMENT OF INSURANCE

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.

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