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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026	05/20/2026	05/20/2026	Yes

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	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