DEPARTMENT OF INSURANCE
Affiliations
NameFord-Hazelwood LLC
DBA : Em Ford & Co of Henderson
DOIID399302NAIC NPN7221574
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty8/15/2000 3/31/2026
ActiveResidentAgentLife12/8/1999 3/31/2026
ActiveResidentAgentCasualty1/24/2001 3/31/2026
ActiveResidentAgentHealth12/8/1999 3/31/2026
InactiveResidentAgentGeneral Lines8/31/19998/15/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty6/23/2016 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property6/23/2016 
ActiveAetna Health Inc. (PA)660717Agent - Health1/21/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health1/21/2020 
ActiveAetna Life Insurance Company301140Agent - Life1/21/2020 
InactiveAmTrust Insurance Company300179Agent - Casualty1/24/20017/1/2008
InactiveAmTrust Insurance Company300179Agent - General Lines8/14/20008/15/2000
InactiveAmTrust Insurance Company300179Agent - Property8/15/20007/1/2008
ActiveAmerican Automobile Insurance Company300953Agent - Casualty1/24/2001 
ActiveAmerican Automobile Insurance Company300953Agent - Property10/20/2000 
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Casualty1/15/20123/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property1/15/20123/29/2024
ActiveAmerican Select Insurance Company301229Agent - Casualty2/16/2018 
ActiveAmerican Select Insurance Company301229Agent - Property2/16/2018 
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty4/30/2021 
ActiveAmerican Strategic Insurance Corp883540Agent - Property4/30/2021 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/6/202012/10/2020
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/200110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health8/7/200012/19/2016
InactiveAnthem Life Insurance Company301209Agent - Life8/7/200012/19/2016
InactiveAssurance Company of America300432Agent - Casualty1/24/200112/16/2014
InactiveAssurance Company of America300432Agent - General Lines7/10/20008/15/2000
InactiveAssurance Company of America300432Agent - Property8/15/200012/16/2014
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Casualty1/11/20108/21/2023
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Property1/11/20108/21/2023
InactiveBITCO General Insurance Corporation301305Agent - Casualty3/16/20018/24/2018
InactiveBITCO General Insurance Corporation301305Agent - Property3/16/20018/24/2018
InactiveBITCO National Insurance Company301366Agent - Casualty3/16/20018/24/2018
InactiveBITCO National Insurance Company301366Agent - Property3/16/20018/24/2018
ActiveBankers Fidelity Assurance Company554627Agent - Health2/23/2021 
ActiveBankers Fidelity Assurance Company554627Agent - Life2/23/2021 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health2/23/2021 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life2/23/2021 
InactiveBlackboard Insurance Company301640Agent - Casualty1/24/200111/30/2007
InactiveBlackboard Insurance Company301640Agent - General Lines7/10/20008/15/2000
InactiveBlackboard Insurance Company301640Agent - Property8/15/200011/30/2007
ActiveBrickStreet Mutual Insurance Company709251Agent - Casualty3/24/2019 
InactiveBrighthouse Life Insurance Company301829Agent - Health12/8/19994/15/2005
InactiveBrighthouse Life Insurance Company301829Agent - Life12/8/19994/15/2005
InactiveChase Insurance Life and Annuity Company300518Agent - Health7/17/20004/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life7/17/20004/1/2007
ActiveCincinnati Casualty Company (The)300308Agent - Casualty9/23/2014 
ActiveCincinnati Casualty Company (The)300308Agent - Property9/23/2014 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty9/23/2014 
ActiveCincinnati Indemnity Company (The)301566Agent - Property9/23/2014 
ActiveCincinnati Insurance Company301298Agent - Casualty9/23/2014 
ActiveCincinnati Insurance Company301298Agent - Property9/23/2014 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life4/2/2024 
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
InactiveConsolidated Insurance Company300943Agent - Casualty1/18/201110/13/2022
InactiveConsolidated Insurance Company300943Agent - Property1/18/201110/13/2022
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty12/4/2019 
ActiveEmployers Insurance Company of Wausau301813Agent - Property12/4/2019 
InactiveEvergreen National Indemnity Company300146Agent - Casualty3/16/20019/8/2001
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health1/24/200110/29/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life1/24/200110/29/2008
ActiveFireman's Fund Insurance Company301423Agent - Casualty1/24/2001 
ActiveFireman's Fund Insurance Company301423Agent - Property10/20/2000 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty12/4/2019 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property12/4/2019 
InactiveFirst National Insurance Company of America301690Agent - Casualty10/16/200810/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property10/16/200810/13/2022
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/20/20124/28/2014
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/20/20124/28/2014
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/20/20124/28/2014
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/20/20124/28/2014
InactiveForemost Signature Insurance Company300140Agent - Casualty11/20/20123/4/2014
InactiveForemost Signature Insurance Company300140Agent - Property11/20/20123/4/2014
InactiveGeneral Insurance Company of America300261Agent - Casualty10/16/20083/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property10/16/20083/29/2024
InactiveIndiana Insurance Company301909Agent - Casualty1/18/20112/3/2023
InactiveIndiana Insurance Company301909Agent - Property1/18/20112/3/2023
ActiveLM Insurance Corporation301061Agent - Casualty12/4/2019 
ActiveLM Insurance Corporation301061Agent - Property12/4/2019 
ActiveLiberty Insurance Corporation300444Agent - Casualty12/4/2019 
ActiveLiberty Insurance Corporation300444Agent - Property12/4/2019 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty12/4/2019 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property12/4/2019 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/30/200812/2/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/30/200812/2/2010
ActiveMICO Insurance Company301664Agent - Casualty8/6/2021 
InactiveMICO Insurance Company301664Agent - General Lines6/23/20008/15/2000
ActiveMICO Insurance Company301664Agent - Property8/6/2021 
InactiveMaryland Casualty Company301719Agent - Casualty1/24/200112/16/2014
InactiveMaryland Casualty Company301719Agent - General Lines7/10/20008/15/2000
InactiveMaryland Casualty Company301719Agent - Property8/15/200012/16/2014
ActiveMeridian Security Insurance Company300423Agent - Casualty3/29/2017 
ActiveMeridian Security Insurance Company300423Agent - Property3/29/2017 
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health12/8/19994/15/2005
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life12/8/19994/15/2005
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty8/24/2022 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Property8/24/2022 
ActiveMotorists Mutual Insurance Company300963Agent - Casualty1/24/2001 
InactiveMotorists Mutual Insurance Company300963Agent - General Lines6/23/20008/15/2000
ActiveMotorists Mutual Insurance Company300963Agent - Property8/15/2000 
InactiveNational Summit Insurance Company300348Agent - Casualty4/23/20011/30/2024
InactiveNational Summit Insurance Company300348Agent - Property4/23/20011/30/2024
ActiveNational Surety Corporation300087Agent - Casualty1/24/2001 
ActiveNational Surety Corporation300087Agent - Property10/20/2000 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty6/13/2014 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health11/15/2012 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property6/13/2014 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty1/18/20115/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property1/18/20115/10/2024
ActiveNorthStone Insurance Company818905Agent - Casualty3/24/2019 
InactiveNorthern Insurance Company of New York301317Agent - Casualty1/24/200112/16/2014
InactiveNorthern Insurance Company of New York301317Agent - General Lines7/10/20008/15/2000
InactiveNorthern Insurance Company of New York301317Agent - Property8/15/200012/16/2014
ActiveOhio Casualty Insurance Company301492Agent - Casualty1/24/2001 
InactiveOhio Casualty Insurance Company301492Agent - General Lines8/31/19998/15/2000
ActiveOhio Casualty Insurance Company301492Agent - Property8/15/2000 
ActiveOhio Farmers Insurance Company301667Agent - Casualty2/16/2018 
ActiveOhio Farmers Insurance Company301667Agent - Property2/16/2018 
ActiveOhio Security Insurance Company300622Agent - Casualty5/2/2024 
ActiveOhio Security Insurance Company300622Agent - Property5/2/2024 
ActivePeerless Indemnity Insurance Company571682Agent - Casualty9/1/2017 
ActivePeerless Indemnity Insurance Company571682Agent - Property9/1/2017 
ActivePeerless Insurance Company301910Agent - Casualty1/18/2011 
ActivePeerless Insurance Company301910Agent - Property1/18/2011 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty9/14/2020 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property9/14/2020 
InactivePie Insurance Company (The)300514Agent - Casualty1/24/20019/2/2022
InactivePie Insurance Company (The)300514Agent - Property10/20/20009/2/2022
ActivePinnaclePoint Insurance Company819085Agent - Casualty3/24/2019 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/13/2008 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/13/2008 
InactiveProgressive Max Insurance Company301034Agent - Casualty3/1/20011/29/2008
InactiveProgressive Max Insurance Company301034Agent - Property3/1/20011/29/2008
ActiveProgressive Northern Insurance Company301378Agent - Casualty3/1/2001 
ActiveProgressive Northern Insurance Company301378Agent - Property3/1/2001 
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty3/1/20012/8/2006
InactiveProgressive Northwestern Insurance Company300441Agent - Property3/1/20012/8/2006
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/21/2010
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/21/2010
InactivePruco Life Insurance Company300954Agent - Health5/31/200712/23/2014
InactivePruco Life Insurance Company300954Agent - Life5/31/200712/23/2014
InactiveSAFECO Insurance Company of America300159Agent - Casualty10/16/20083/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property10/16/20083/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty10/16/20083/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property10/16/20083/29/2024
InactiveSagamore Insurance Company300942Agent - Casualty10/1/20154/6/2018
InactiveSagamore Insurance Company300942Agent - Property10/1/20154/6/2018
InactiveSecurity National Insurance Company301151Agent - Casualty1/24/20017/1/2008
InactiveSecurity National Insurance Company301151Agent - General Lines8/14/20008/15/2000
InactiveSecurity National Insurance Company301151Agent - Property8/15/20007/1/2008
ActiveSilverScript Insurance Company663526Agent - Health1/21/2020 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty3/29/2017 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property3/29/2017 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty3/29/2017 
ActiveState Automobile Mutual Insurance Company301824Agent - Property3/29/2017 
ActiveSummitPoint Insurance Company819084Agent - Casualty3/24/2019 
InactiveTransamerica Life Insurance Company300571Agent - Health9/8/20094/17/2023
InactiveTransamerica Life Insurance Company300571Agent - Life9/8/20094/17/2023
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty11/22/2011 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property11/22/2011 
InactiveTrinity Universal Insurance Company300911Agent - Casualty1/24/20015/4/2009
InactiveTrinity Universal Insurance Company300911Agent - General Lines8/14/20008/15/2000
InactiveTrinity Universal Insurance Company300911Agent - Property8/15/20005/4/2009
ActiveUnited Financial Casualty Company301886Agent - Casualty3/13/2008 
ActiveUnited Financial Casualty Company301886Agent - Property3/13/2008 
ActiveUnitrin Auto and Home Insurance Company301538Agent - Casualty6/15/2017 
ActiveUnitrin Auto and Home Insurance Company301538Agent - Property6/15/2017 
ActiveUnitrin Safeguard Insurance Company301371Agent - Casualty10/11/2018 
ActiveUnitrin Safeguard Insurance Company301371Agent - Property10/11/2018 
InactiveWCF Select Insurance Company301898Agent - Casualty1/24/20013/29/2022
InactiveWCF Select Insurance Company301898Agent - Property10/20/20003/29/2022
InactiveWest American Insurance Company301112Agent - Casualty1/15/20123/29/2024
InactiveWest American Insurance Company301112Agent - Property1/15/20123/29/2024
ActiveWest Bend Insurance Company672974Agent - Casualty6/28/2011 
ActiveWest Bend Insurance Company672974Agent - Property6/28/2011 
InactiveWest Coast Life Insurance Company301607Agent - Life2/14/200512/13/2011
ActiveWestfield Insurance Company301950Agent - Casualty9/8/2017 
ActiveWestfield Insurance Company301950Agent - Property9/8/2017 
ActiveWestfield National Insurance Company301036Agent - Casualty2/16/2018 
ActiveWestfield National Insurance Company301036Agent - Property2/16/2018 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAustin, Rachel Kristen 772783Agent - Casualty9/22/2014 
ActiveAustin, Rachel Kristen 772783Agent - Health8/6/2015 
ActiveAustin, Rachel Kristen 772783Agent - Life8/6/2015 
ActiveAustin, Rachel Kristen 772783Agent - Property9/22/2014 
ActiveBrown, Jennifer Leigh 520068Agent - Casualty2/27/2003 
InactiveBrown, Jennifer Leigh 520068Agent - Health2/7/20198/12/2022
InactiveBrown, Jennifer Leigh 520068Agent - Life2/7/201910/3/2019
ActiveBrown, Jennifer Leigh 520068Agent - Property2/27/2003 
InactiveFord, Richard Scott 355620Agent - Casualty8/15/20009/1/2020
InactiveFord, Richard Scott 355620Agent - General Lines8/31/19998/15/2000
InactiveFord, Richard Scott 355620Agent - Health12/8/19999/1/2020
InactiveFord, Richard Scott 355620Agent - Life12/8/19999/1/2020
InactiveFord, Richard Scott 355620Agent - Property8/15/20009/1/2020
InactiveFord, Steven Milton 366131Agent - Casualty7/14/200812/9/2008
InactiveFord, Steven Milton 366131Agent - General Lines8/31/19998/15/2000
InactiveFord, Steven Milton 366131Agent - Health7/14/200812/9/2008
InactiveFord, Steven Milton 366131Agent - Life7/14/200812/9/2008
InactiveFord, Steven Milton 366131Agent - Property7/14/200812/9/2008
DeniedFord, Wendell Clay 551817Agent - Health  
InactiveFord, Wendell Clay 551817Agent - Life2/27/20035/16/2022
ActiveHazelwood, Michael D 343551Agent - Casualty8/15/2000 
InactiveHazelwood, Michael D 343551Agent - General Lines8/31/19998/15/2000
ActiveHazelwood, Michael D 343551Agent - Health12/8/1999 
ActiveHazelwood, Michael D 343551Agent - Life12/8/1999 
ActiveHazelwood, Michael D 343551Agent - Property8/15/2000 
ActiveHesley, Lori Ann 1056199Agent - Casualty6/14/2021 
ActiveHesley, Lori Ann 1056199Agent - Property6/14/2021 
InactiveLiggett, Brandi Elaine 609803Agent - Casualty2/16/201011/1/2011
InactiveLiggett, Brandi Elaine 609803Agent - Property2/16/201011/1/2011
InactiveSmith, Melissa L 369923Agent - Casualty1/24/20011/24/2005
InactiveSmith, Melissa L 369923Agent - General Lines8/31/19998/15/2000
InactiveSmith, Melissa L 369923Agent - Property8/15/20001/24/2005
ActiveStone, Valerie 324650Agent - Casualty3/26/2024 
ActiveStone, Valerie 324650Agent - Property3/26/2024 
InactiveWilkerson, Crystal L 507140Agent - Casualty6/30/20157/31/2020
InactiveWilkerson, Crystal L 507140Agent - Property6/30/20157/31/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life7/24/200012/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Health7/24/200012/31/2001

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