DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hass, David Dale	DOIID	1082567	NAIC NPN	8907461

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/29/2020	11/30/2022
* 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	AXIS Insurance Company	301290	Agent - Health	5/5/2020	11/30/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	9/20/2022	11/30/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/20/2022	11/30/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/26/2021	11/30/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/26/2021	11/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/26/2021	11/30/2022
Inactive	Aspen American Insurance Company	301513	Agent - Health	7/9/2020	12/14/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/8/2022	11/30/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/26/2021	11/30/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/20/2022	11/30/2022
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/24/2020	11/30/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/23/2020	11/30/2022

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	9/8/2022	11/30/2022
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	8/12/2020	8/15/2022