DEPARTMENT OF INSURANCE

Affiliations

Name	Hetzel, Scott Michael	DOIID	1204491	NAIC NPN	16284900

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/11/2022	6/30/2027
Active	Non Resident	Agent	Life	5/11/2022	6/30/2027
* 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	04/15/2025	06/30/2025	05/01/2025	05/01/2025	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	5/6/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	5/6/2025
Active	All Savers Insurance Company	301940	Agent - Health	10/25/2022
Active	All Savers Insurance Company	301940	Agent - Life	10/25/2022
Active	American United Life Insurance Company	300498	Agent - Health	4/9/2025
Active	American United Life Insurance Company	300498	Agent - Life	4/9/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/24/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/24/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/24/2022	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/24/2022	4/15/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/25/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/25/2025
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/22/2022	12/12/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/9/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	5/9/2023	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/9/2023	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/9/2023	12/12/2024
Active	National Guardian Life Insurance Company	300596	Agent - Health	5/2/2025
Active	Nippon Life Insurance Company of America	300446	Agent - Health	12/2/2024
Active	Nippon Life Insurance Company of America	300446	Agent - Life	12/2/2024
Active	Standard Insurance Company	300185	Agent - Health	6/16/2025
Active	Standard Insurance Company	300185	Agent - Life	6/16/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/3/2022	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/3/2022	12/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/3/2022	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/3/2022	12/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Life	6/25/2025
Active	Assuredpartners NL, LLC	762387	Agent - Health	6/25/2025