DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hazlett, Thomas Leet	DOIID	310282	NAIC NPN	7160312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/28/2018	12/31/2019
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/29/2004
Inactive	Non Resident	Agent	Life	3/28/2018	12/31/2019
Inactive	Resident	Agent	Credit Life & Health	10/19/1992	8/7/2000
* 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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	9/26/1996	3/31/1997
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	10/19/1992	9/26/1996
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/15/2018	6/3/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/15/2018	6/3/2019
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	5/30/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	2/29/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Downtown Ford Inc.	398848	Agent - Credit Life & Health	5/30/1997	8/7/2000
Inactive	Downtown Ford Inc.	398848	Agent - Limited Line Credit	8/7/2000	3/7/2003
Inactive	Ushealth Advisors Llc	713288	Agent - Life	4/15/2018	6/3/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	4/15/2018	6/3/2019