DEPARTMENT OF INSURANCE

Affiliations

Name	Haase, William E	DOIID	360216	NAIC NPN	2255814

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/23/1989	10/31/2012
Inactive	Non Resident	Agent	Health Maintenance Organization	8/21/1995	3/1/2001
Inactive	Non Resident	Agent	Health	3/23/1989	10/31/2012
* 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	Aetna Life Insurance Company	301140	Agent - Health	3/23/1989	10/24/2002
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/23/1989	10/24/2002
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	2/20/1997	10/7/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	2/20/1997	10/7/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/20/1995	7/14/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/24/1998	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/24/1998	12/23/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/10/2002	12/22/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/10/2002	12/22/2003
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	4/6/1995	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	4/6/1995	9/8/2000
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/1/2001	10/31/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	8/21/1995	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/2/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	1/2/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	1/2/2009	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/2/2009	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/2/2009	9/8/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/8/1998	6/5/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/8/1998	6/5/2003
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	11/6/1995	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	11/6/1995	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/27/2003	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/27/2003	6/7/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	3/10/2000	12/31/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	3/10/2000	12/31/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	3/20/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	3/20/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/27/2003	10/4/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/27/2003	10/4/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/3/2001	12/20/2007
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/19/1992	12/2/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/19/1992	12/2/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	1/4/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	1/4/2007
Inactive	Time Insurance Company	300683	Agent - Health	3/13/2000	5/13/2011
Inactive	Time Insurance Company	300683	Agent - Life	3/13/2000	5/13/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/16/1999	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/16/1999	12/30/2009
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	3/27/1989	11/30/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	3/27/1989	11/30/2006
Inactive		300277	Agent - Health	1/22/1996	1/1/2007
Inactive		300277	Agent - Life	1/22/1996	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	11/23/1998	5/13/2011
Inactive	Medlink Inc	400721	Agent - Health	11/23/1998	10/31/2012