DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hartz, James B	DOIID	1239963	NAIC NPN	5773094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/1/2022		9/30/2026
Active	Non Resident	Agent	Health	11/1/2022		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/28/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/28/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/28/2024	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/28/2024	4/15/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Gallagher Benefit Services Inc	525782	Agent - Life
Active	Gallagher Benefit Services Inc	525782	Agent - Health	7/30/2026