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
ActiveResidentAgentCasualty1/24/2001 3/31/2028
ActiveResidentAgentLife12/8/1999 3/31/2028
ActiveResidentAgentHealth12/8/1999 3/31/2028
ActiveResidentAgentProperty8/15/2000 3/31/2028
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
Active1842 Insurance Company1357117Agent - Casualty7/1/2025 
Active1842 Insurance Company1357117Agent - Property7/1/2025 
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 
ActiveAmerican Economy Insurance Company300315Agent - Casualty11/6/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property11/6/2024 
ActiveAmerican Fire and Casualty Company300567Agent - Casualty11/5/2024 
ActiveAmerican Fire and Casualty Company300567Agent - Property11/5/2024 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty5/11/2026 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property5/11/2026 
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
InactiveBankers Fidelity Assurance Company554627Agent - Health2/23/202111/12/2025
InactiveBankers Fidelity Assurance Company554627Agent - Life2/23/202111/12/2025
InactiveBankers Fidelity Life Insurance Company300193Agent - Health2/23/202111/12/2025
InactiveBankers Fidelity Life Insurance Company300193Agent - Life2/23/202111/12/2025
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
ActiveFirstline Insurance Company1322897Agent - Casualty7/1/2025 
ActiveFirstline Insurance Company1322897Agent - Property7/1/2025 
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
InactiveGlatfelter Insurance Company301640Agent - Casualty1/24/200111/30/2007
InactiveGlatfelter Insurance Company301640Agent - General Lines7/10/20008/15/2000
InactiveGlatfelter Insurance Company301640Agent - Property8/15/200011/30/2007
ActiveHarford Mutual Insurance Company200223Agent - Casualty7/1/2025 
ActiveHarford Mutual Insurance Company200223Agent - Property7/1/2025 
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 
ActiveOld Guard Insurance Company533854Agent - Casualty1/21/2026 
ActiveOld Guard Insurance Company533854Agent - Property1/21/2026 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty9/1/20179/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property9/1/20179/26/2024
InactivePeerless Insurance Company301910Agent - Casualty1/18/20115/8/2025
InactivePeerless Insurance Company301910Agent - Property1/18/20115/8/2025
ActivePhenix Mutual Fire Insurance Company1295814Agent - Casualty12/22/2025 
ActivePhenix Mutual Fire Insurance Company1295814Agent - Property12/22/2025 
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
ActiveSAFECO Insurance Company of America300159Agent - Casualty10/15/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property10/15/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty7/16/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property7/16/2024 
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 
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty6/15/201710/23/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property6/15/201710/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Casualty10/11/201810/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Property10/11/201810/23/2024
InactiveWCF Select Insurance Company301898Agent - Casualty1/24/20013/29/2022
InactiveWCF Select Insurance Company301898Agent - Property10/20/20003/29/2022
ActiveWest American Insurance Company301112Agent - Casualty10/30/2024 
ActiveWest American Insurance Company301112Agent - Property10/30/2024 
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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