DEPARTMENT OF INSURANCE

Affiliations

Name	Hayden, Lawrence R	DOIID	329044	NAIC NPN	3314637

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	7/21/2014		6/30/2026
Active	Resident	Agent	Casualty	7/21/2014		6/30/2026
Active	Resident	Agent	Health	7/21/2014		6/30/2026
Active	Resident	Agent	Life	7/21/2014		6/30/2026
Inactive	Resident	Agent	General Lines	4/29/1996	8/15/2000
* 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	04/15/2024	06/30/2024	05/21/2024	05/21/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AF&L Insurance Company	301582	Agent - Health	1/24/2003	12/1/2006
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	10/2/2012	7/1/2014
Inactive	Aegis Security Insurance Company	300492	Agent - Property	10/2/2012	7/1/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/5/2003	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/5/2003	11/20/2007
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	8/15/2000	8/13/2001
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	6/7/1996	8/15/2000
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/15/2000	8/13/2001
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	9/23/2002	3/18/2010
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	9/23/2002	3/18/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/9/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/9/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/27/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/27/2015	11/14/2021
Inactive	American Select Insurance Company	301229	Agent - Casualty	1/2/2002	9/16/2009
Inactive	American Select Insurance Company	301229	Agent - Property	1/2/2002	9/16/2009
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/27/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/27/2015	11/14/2021
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	9/23/2002	3/18/2010
Inactive	American Zurich Insurance Company	300592	Agent - Property	9/23/2002	3/18/2010
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	3/18/2010
Inactive	Assurance Company of America	300432	Agent - General Lines	8/7/2000	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	3/18/2010
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	7/21/2014	5/31/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	7/21/2014	5/31/2023
Active	Brighthouse Life Insurance Company	301829	Agent - Health	3/24/2016
Active	Brighthouse Life Insurance Company	301829	Agent - Life	3/24/2016
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/14/1998	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/14/1998	4/1/2007
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	7/25/2014
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	7/25/2014
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	7/25/2014
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	7/25/2014
Active	Cincinnati Insurance Company	301298	Agent - Casualty	7/25/2014
Active	Cincinnati Insurance Company	301298	Agent - Property	7/25/2014
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	7/25/2014
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/25/2014
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	9/23/2002	3/18/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	9/23/2002	3/18/2010
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	7/1/2014
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	4/9/1999	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	7/1/2014
Inactive	Encova Life Insurance Company	301818	Agent - Health	12/30/1998	7/1/2014
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/29/2015	9/10/2019
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	12/31/1998	10/28/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	9/23/2002	3/18/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	9/23/2002	3/18/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/15/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/15/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/23/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/23/2009	12/7/2012
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	8/7/2000	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	11/30/2007
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000	10/1/2001
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	5/15/2000	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/15/2000	10/1/2001
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/21/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/21/2008	6/8/2011
Active	Kentucky National Insurance Company	301625	Agent - Casualty	1/19/2017
Active	Kentucky National Insurance Company	301625	Agent - Property	1/19/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/20/2015	6/11/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/20/2015	6/11/2018
Active	MICO Insurance Company	301664	Agent - Casualty	4/20/2022
Active	MICO Insurance Company	301664	Agent - Property	4/20/2022
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	3/18/2010
Inactive	Maryland Casualty Company	301719	Agent - General Lines	8/7/2000	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	3/18/2010
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	4/29/1996	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	4/11/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Property	4/11/2019
Inactive	National Summit Insurance Company	300348	Agent - Casualty	8/15/2000	6/18/2001
Inactive	National Summit Insurance Company	300348	Agent - General Lines	3/12/1998	8/15/2000
Inactive	National Summit Insurance Company	300348	Agent - Property	8/15/2000	6/18/2001
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	3/18/2010
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	8/7/2000	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	3/18/2010
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/10/2001	9/16/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/10/2001	9/16/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/5/2014	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/5/2014	10/15/2021
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	5/20/1999	12/7/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	5/20/1999	12/7/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/17/2015	11/23/2017
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/17/2015	11/23/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/20/1999	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/20/1999	8/24/2000
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/4/2014	12/22/2016
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/2/1998	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/2/1998	1/2/2003
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/25/2014
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/25/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/25/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/25/2014
Inactive	Security National Insurance Company	301151	Agent - Casualty	8/15/2000	8/13/2001
Inactive	Security National Insurance Company	301151	Agent - General Lines	6/7/1996	8/15/2000
Inactive	Security National Insurance Company	301151	Agent - Property	8/15/2000	8/13/2001
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	4/2/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	4/2/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/6/1998	8/15/2000
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	State Life Insurance Company	301497	Agent - Health	10/13/2003	7/26/2005
Inactive	State Life Insurance Company	301497	Agent - Life	10/13/2003	7/26/2005
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	8/15/2000	8/13/2001
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	6/7/1996	8/15/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	8/15/2000	8/13/2001
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	4/2/2003	7/1/2014
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	4/2/2003	7/1/2014
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	4/28/2003	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	4/28/2003	12/2/2013
Inactive	West Coast Life Insurance Company	301607	Agent - Health	5/17/2005	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	5/17/2005	11/16/2011
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	9/21/2017
Active	Westfield Insurance Company	301950	Agent - Property	9/21/2017
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/10/2001	9/16/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/10/2001	9/16/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	9/23/2002	3/18/2010
Inactive	Zurich American Insurance Company	301121	Agent - Property	9/23/2002	3/18/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	9/23/2002	3/18/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	9/23/2002	3/18/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	E M Ford & Co LLC	399301	Agent - General Lines	8/30/1999	8/15/2000
Active	E M Ford & Co LLC	399301	Agent - Life	7/25/2014
Active	E M Ford & Co LLC	399301	Agent - Health	7/25/2014
Active	E M Ford & Co LLC	399301	Agent - Property	7/25/2014
Active	E M Ford & Co LLC	399301	Agent - Casualty	7/25/2014
Inactive	E M Ford & Co.	400313	Agent - General Lines	2/13/1998	8/15/2000
Inactive	E M Ford & Co.	400313	Agent - Life	11/2/1998	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Health	11/2/1998	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Property	8/15/2000	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Casualty	8/15/2000	2/25/2003
Inactive	Retirement Care Services Inc.	400406	Agent - Life	2/26/2003	2/23/2005
Inactive	Retirement Care Services Inc.	400406	Agent - Health	2/26/2003	2/23/2005