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DEPARTMENT OF INSURANCE
Affiliations
Name
Hazelbaker, Richard Keith
DOIID
384277
NAIC NPN
55108
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Prepaid Dental Plan
6/22/1998
1/24/2000
Pending Replacement
Resident
Agent
Life
1/22/1993
6/30/2024
Pending Replacement
Resident
Agent
Health
1/22/1993
6/30/2024
* 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
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
8/3/2000
12/1/2006
Inactive
Accordia Life and Annuity Company
502966
Agent - Life
8/26/2018
4/20/2020
Pending Replacement
Aetna Health and Life Insurance Company
300523
Agent - Health
6/2/2017
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
9/9/2005
12/27/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
9/9/2005
12/27/2013
Inactive
American Continental Insurance Company
643130
Agent - Health
5/6/2011
2/17/2014
Inactive
American Continental Insurance Company
643130
Agent - Life
6/2/2017
8/11/2021
Pending Replacement
American Equity Investment Life Insurance Company
300389
Agent - Life
8/2/2022
Pending Replacement
American General Life Insurance Company
301585
Agent - Health
4/8/2022
Pending Replacement
American General Life Insurance Company
301585
Agent - Life
4/8/2022
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
10/3/2008
9/30/2009
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
3/4/2011
8/27/2013
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
3/4/2011
8/27/2013
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
1/8/2012
8/10/2015
Inactive
Athene Annuity and Life Company
301893
Agent - Life
9/1/2021
6/9/2023
Pending Replacement
Atlantic Coast Life Insurance Company
642114
Agent - Life
3/1/2023
Pending Replacement
Augustar Life Insurance Company
301816
Agent - Life
9/20/2023
Inactive
Baltimore Life Insurance Company
300286
Agent - Health
12/14/2001
9/25/2003
Inactive
Baltimore Life Insurance Company
300286
Agent - Life
12/14/2001
9/25/2003
Inactive
Bankers Fidelity Assurance Company
554627
Agent - Health
5/17/2017
11/12/2020
Inactive
Bankers Fidelity Assurance Company
554627
Agent - Life
5/17/2017
11/12/2020
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Health
5/17/2017
11/12/2020
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Life
5/17/2017
11/12/2020
Pending Replacement
Clear Spring Life and Annuity Company
300919
Agent - Life
8/28/2023
Inactive
Continental Casualty Company
301019
Agent - Health
7/1/2002
11/29/2004
Pending Replacement
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
5/6/2011
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
5/6/2011
4/26/2016
Inactive
Dental Plan Managers Inc.
300547
Agent - Prepaid Dental Plan
6/22/1998
1/24/2000
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
4/25/2013
1/6/2018
Inactive
Essence Healthcare, Inc.
657425
Agent - Health
12/17/2008
3/31/2011
Pending Replacement
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
1/2/2014
Inactive
Genworth Life Insurance Company
300623
Agent - Health
12/17/2009
1/7/2014
Inactive
Genworth Life Insurance Company
300623
Agent - Life
12/17/2009
1/7/2014
Inactive
Gerber Life Insurance Company
300529
Agent - Health
7/6/2017
12/14/2020
Inactive
Gerber Life Insurance Company
300529
Agent - Life
7/6/2017
12/14/2020
Inactive
Guaranty Income Life Insurance Company
552451
Agent - Health
7/16/2014
7/1/2019
Inactive
Guaranty Income Life Insurance Company
552451
Agent - Life
7/16/2014
7/1/2019
Inactive
Indianapolis Life Insurance Company
301381
Agent - Life
7/11/2008
10/1/2008
Inactive
Investors Life Insurance Company of North America
301660
Agent - Life
8/7/2007
3/1/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
6/26/2003
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
6/26/2003
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/19/2008
4/2/2013
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
9/19/2008
4/2/2013
Inactive
Liberty Bankers Life Insurance Company
542461
Agent - Life
5/10/2017
12/20/2022
Inactive
Life Investors Insurance Company of America
301793
Agent - Health
1/22/1993
3/26/2003
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
1/22/1993
3/26/2003
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/21/2009
9/28/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
8/21/2009
9/28/2021
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
9/20/2017
12/10/2022
Inactive
Medico Insurance Company
301559
Agent - Health
9/22/2021
12/21/2022
Inactive
Medico Insurance Company
301559
Agent - Life
9/22/2021
12/21/2022
Inactive
Medico Life and Health Insurance Company
907406
Agent - Health
1/3/2019
12/28/2020
Inactive
Medico Life and Health Insurance Company
907406
Agent - Life
1/3/2019
12/28/2020
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
10/21/2014
3/7/2018
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
10/21/2014
3/7/2018
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/10/2008
10/22/2014
Pending Replacement
Nassau Life and Annuity Company
513671
Agent - Life
3/4/2024
Inactive
National Western Life Insurance Company
301515
Agent - Health
7/27/2005
2/14/2007
Inactive
National Western Life Insurance Company
301515
Agent - Life
10/16/2012
8/9/2017
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
12/27/2016
12/10/2018
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/27/2016
12/10/2018
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
11/28/2010
4/23/2019
Pending Replacement
Oceanview Life and Annuity Company
301868
Agent - Life
8/13/2020
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
4/23/2007
11/27/2008
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
4/23/2007
11/27/2008
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/23/2015
11/23/2017
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/23/2015
11/23/2017
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
4/11/2003
11/10/2004
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
4/11/2003
11/10/2004
Inactive
Pruco Life Insurance Company
300954
Agent - Health
12/3/2010
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
12/3/2010
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Health
4/4/2007
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Life
4/4/2007
12/23/2014
Pending Replacement
Reliance Standard Life Insurance Company
300584
Agent - Life
5/20/2017
Inactive
SILAC Insurance Company
300535
Agent - Health
4/29/2009
12/8/2010
Pending Replacement
SILAC Insurance Company
300535
Agent - Life
11/12/2019
Inactive
Sagicor Life Insurance Company
300459
Agent - Life
6/19/2018
3/8/2023
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
10/15/2014
2/27/2016
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
10/15/2014
2/27/2016
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Health
4/20/1993
9/17/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Life
4/20/1993
9/17/2003
Pending Replacement
Sentinel Security Life Insurance Company
935789
Agent - Life
8/1/2022
Inactive
Standard Insurance Company
300185
Agent - Health
7/12/2017
12/5/2022
Inactive
Standard Insurance Company
300185
Agent - Life
7/12/2017
12/5/2022
Inactive
State Life Insurance Company
301497
Agent - Health
5/3/2017
12/4/2023
Inactive
State Life Insurance Company
301497
Agent - Life
5/3/2017
12/4/2023
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
8/15/2006
12/11/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
8/15/2006
12/11/2009
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
8/13/2019
8/28/2019
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
8/13/2019
8/28/2019
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
9/14/2004
9/27/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
4/11/2003
11/10/2004
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
4/11/2003
11/10/2004
Inactive
United Home Life Insurance Company
300421
Agent - Life
1/20/2013
11/26/2014
Inactive
United World Life Insurance Company
300532
Agent - Health
3/10/2008
12/15/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
7/26/2013
6/23/2014
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
7/26/2013
6/23/2014
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
9/8/2005
12/5/2015
Inactive
West Coast Life Insurance Company
301607
Agent - Health
2/17/2010
9/18/2012
Inactive
West Coast Life Insurance Company
301607
Agent - Life
2/17/2010
9/18/2012
Inactive
300277
Agent - Life
8/13/2004
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
Pending Replacement
Designated Agent Company Inc.
681257
Agent - Life
12/16/2013
Pending Replacement
Designated Agent Company Inc.
681257
Agent - Health
12/16/2013
Inactive
Fundamental Insurance and Retirement Planning
675147
Agent - Life
10/10/2011
3/31/2018
Inactive
Fundamental Insurance and Retirement Planning
675147
Agent - Health
10/10/2011
3/31/2018
Pending Replacement
North American Life Plans LLC
645076
Agent - Life
9/22/2010
Pending Replacement
North American Life Plans LLC
645076
Agent - Health
9/22/2010
Pending Replacement
R. Keith Hazelbaker Enterprises
610026
Agent - Life
6/23/2023
Pending Replacement
R. Keith Hazelbaker Enterprises
610026
Agent - Health
6/23/2023
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