DEPARTMENT OF INSURANCE
Affiliations
NameHazelwood, Patrick BradleyDOIID363401NAIC NPN6837941
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLimited Line Credit5/21/201410/31/2018 
InactiveResidentAgentDebtors Life9/12/19973/30/1998 
InactiveResidentAgentVariable Life and Variable Annuities1/15/200911/1/2012 
InactiveResidentAgentLife1/15/200911/1/2012 
InactiveResidentAgentCredit Personal Property & Unemployment9/12/19976/28/1999 
InactiveResidentAgentCredit Life & Health1/29/19961/29/1999 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Health and Life Insurance Company300844Agent - Credit Life & Health9/12/19973/30/1998
InactiveAmerican Health and Life Insurance Company300844Agent - Debtors Life9/12/19973/30/1998
InactiveAmerican Reliable Insurance Company301889Agent - Credit Personal Property & Unemployment10/7/19976/28/1999
InactiveEverlake Life Insurance Company300873Agent - Life7/17/200911/1/2012
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities7/17/200911/1/2012
InactiveIntegrity Life Insurance Company301687Agent - Life3/26/20097/6/2009
InactiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities3/26/20097/6/2009
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit5/21/201410/31/2018
InactiveJackson National Life Insurance Company300486Agent - Life2/9/200911/1/2012
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities2/9/200911/1/2012
InactiveLyndon Southern Insurance Company609602Agent - Limited Line Credit2/10/201710/31/2018
InactiveNationwide Life Insurance Company300495Agent - Life12/18/200711/14/2008
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/18/200711/14/2008
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/26/200311/14/2008
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities12/18/200711/14/2008
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life9/24/200812/26/2008
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities9/24/200812/26/2008
InactivePruco Life Insurance Company300954Agent - Life4/5/201011/1/2012
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/5/201011/1/2012
InactiveSouthern Financial Life Insurance Company300664Agent - Credit Life & Health9/26/19981/29/1999
InactiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit2/10/201710/31/2018
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/18/200412/23/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities12/17/200412/23/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life2/18/200412/23/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/17/200412/23/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Credit Life & Health1/29/19969/23/1998
InactiveTriton Insurance Company300654Agent - Credit Personal Property & Unemployment9/12/19973/30/1998
InactiveVenerable Insurance and Annuity Company301006Agent - Life11/3/200410/31/2008
InactiveWestern National Life Insurance Company300461Agent - Life12/7/200110/31/2008
InactiveWestern and Southern Life Insurance Company301744Agent - Life2/26/20097/6/2009
InactiveWestern-Southern Life Assurance Company301590Agent - Life2/26/20097/6/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFarmers Bank & Trust Co.398176Agent - Credit Life & Health6/4/19969/23/1998
InactiveFifth Third Insurance Agency Inc399341Agent - Life2/10/200911/1/2012
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities2/10/200911/1/2012

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