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DEPARTMENT OF INSURANCE
Affiliations
Name
Hazelwood, Patrick Bradley
DOIID
363401
NAIC NPN
6837941
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Limited Line Credit
5/21/2014
10/31/2018
Inactive
Resident
Agent
Debtors Life
9/12/1997
3/30/1998
Inactive
Resident
Agent
Variable Life and Variable Annuities
1/15/2009
11/1/2012
Inactive
Resident
Agent
Life
1/15/2009
11/1/2012
Inactive
Resident
Agent
Credit Personal Property & Unemployment
9/12/1997
6/28/1999
Inactive
Resident
Agent
Credit Life & Health
1/29/1996
1/29/1999
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Health and Life Insurance Company
300844
Agent - Credit Life & Health
9/12/1997
3/30/1998
Inactive
American Health and Life Insurance Company
300844
Agent - Debtors Life
9/12/1997
3/30/1998
Inactive
American Reliable Insurance Company
301889
Agent - Credit Personal Property & Unemployment
10/7/1997
6/28/1999
Inactive
Everlake Life Insurance Company
300873
Agent - Life
7/17/2009
11/1/2012
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
7/17/2009
11/1/2012
Inactive
Integrity Life Insurance Company
301687
Agent - Life
3/26/2009
7/6/2009
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
3/26/2009
7/6/2009
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Limited Line Credit
5/21/2014
10/31/2018
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
2/9/2009
11/1/2012
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
2/9/2009
11/1/2012
Inactive
Lyndon Southern Insurance Company
609602
Agent - Limited Line Credit
2/10/2017
10/31/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
12/18/2007
11/14/2008
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
12/18/2007
11/14/2008
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
6/26/2003
11/14/2008
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
12/18/2007
11/14/2008
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
9/24/2008
12/26/2008
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
9/24/2008
12/26/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Life
4/5/2010
11/1/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
4/5/2010
11/1/2012
Inactive
Southern Financial Life Insurance Company
300664
Agent - Credit Life & Health
9/26/1998
1/29/1999
Inactive
Southern Financial Life Insurance Company
300664
Agent - Limited Line Credit
2/10/2017
10/31/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
2/18/2004
12/23/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
12/17/2004
12/23/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
2/18/2004
12/23/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
12/17/2004
12/23/2008
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Credit Life & Health
1/29/1996
9/23/1998
Inactive
Triton Insurance Company
300654
Agent - Credit Personal Property & Unemployment
9/12/1997
3/30/1998
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
11/3/2004
10/31/2008
Inactive
Western National Life Insurance Company
300461
Agent - Life
12/7/2001
10/31/2008
Inactive
Western and Southern Life Insurance Company
301744
Agent - Life
2/26/2009
7/6/2009
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
2/26/2009
7/6/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Farmers Bank & Trust Co.
398176
Agent - Credit Life & Health
6/4/1996
9/23/1998
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
2/10/2009
11/1/2012
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
2/10/2009
11/1/2012
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