DEPARTMENT OF INSURANCE

Affiliations

Name	Hazelton, Samuel	DOIID	1257018	NAIC NPN	19735882

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/17/2023	5/31/2028
Active	Non Resident	Agent	Property	2/17/2023	5/31/2028
* 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	Allstate Indemnity Company	300778	Agent - Casualty	5/18/2026
Active	Allstate Indemnity Company	300778	Agent - Property	5/18/2026
Active	Allstate Insurance Company	300773	Agent - Casualty	5/18/2026
Active	Allstate Insurance Company	300773	Agent - Property	5/18/2026
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	5/18/2026
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	5/18/2026
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/18/2026
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/18/2026
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	6/21/2023	8/14/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Property	6/21/2023	8/14/2025
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	5/20/2026
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	5/20/2026
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	5/20/2026
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	5/20/2026
Active	Cincinnati Insurance Company	301298	Agent - Casualty	5/20/2026
Active	Cincinnati Insurance Company	301298	Agent - Property	5/20/2026
Active	Encompass Insurance Company	300188	Agent - Casualty	6/11/2026
Active	Encompass Insurance Company	300188	Agent - Property	6/11/2026
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/18/2025	8/6/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/18/2025	8/6/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/14/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/14/2026
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	5/24/2026
Active	GEICO Marine Insurance Company	590512	Agent - Property	5/24/2026
Active	Homesite Insurance Company	301139	Agent - Casualty	7/21/2026
Active	Homesite Insurance Company	301139	Agent - Property	7/21/2026
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/21/2026
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/21/2026
Active	Root Insurance Company	964834	Agent - Casualty	6/2/2026
Active	Root Insurance Company	964834	Agent - Property	6/2/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rate Insurance LLC	791806	Agent - Casualty	5/14/2026
Active	Rate Insurance LLC	791806	Agent - Property	5/14/2026