DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes, Nathaniel Al	DOIID	1099393	NAIC NPN	16698065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/18/2022		8/31/2026
Active	Non Resident	Agent	Life	9/21/2020		8/31/2026
* 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	American National Insurance Company	301861	Agent - Life	6/2/2021	1/18/2022
Active	EMC National Life Company	300388	Agent - Life	10/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/21/2020	12/2/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/1/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/1/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Health	5/5/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Life	5/5/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	5/1/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/1/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/1/2023
Active	Unum Insurance Company	301499	Agent - Health	5/1/2023
Active	Unum Insurance Company	301499	Agent - Life	5/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hodges-Mace LLC	1059189	Agent - Life	11/22/2022
Denied	Hodges-Mace LLC	1059189	Agent - Health