DEPARTMENT OF INSURANCE

Affiliations

Name	Hatzell Insurance Inc.	DOIID	513167	NAIC NPN	3990065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	9/25/2000	3/31/2020
Inactive	Resident	Agent	Property	9/25/2000	3/31/2020
Inactive	Resident	Agent	Life	9/25/2000	3/31/2020
Inactive	Resident	Agent	Health	9/25/2000	3/31/2020
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	5/7/2001	12/20/2018
Inactive	Allstate Indemnity Company	300778	Agent - Property	5/7/2001	12/20/2018
Inactive	Allstate Insurance Company	300773	Agent - Casualty	9/25/2000	12/20/2018
Inactive	Allstate Insurance Company	300773	Agent - Property	9/25/2000	12/20/2018
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	12/20/2018
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	12/20/2018
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/17/2014	12/20/2018
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/17/2014	12/20/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/25/2006	11/30/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/25/2006	11/30/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/12/2017	3/31/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/12/2017	3/31/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	1/22/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	1/22/2019
Inactive	Everlake Assurance Company	300203	Agent - Life	12/17/2014	12/20/2018
Inactive	Everlake Life Insurance Company	300873	Agent - Health	9/25/2000	12/20/2018
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/25/2000	12/20/2018
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/29/2008	12/20/2018
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/29/2008	12/20/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harja, Mary Elizabeth	557009	Agent - Casualty	1/7/2004	1/2/2014
Inactive	Harja, Mary Elizabeth	557009	Agent - Health	1/7/2004	1/2/2014
Inactive	Harja, Mary Elizabeth	557009	Agent - Life	1/7/2004	1/2/2014
Inactive	Harja, Mary Elizabeth	557009	Agent - Property	1/7/2004	1/2/2014
Inactive	Hatzell, Larry G	355220	Agent - Casualty	3/9/2020	3/31/2020
Inactive	Hatzell, Larry G	355220	Agent - Health	3/9/2020	3/31/2020
Inactive	Hatzell, Larry G	355220	Agent - Life	3/9/2020	3/31/2020
Inactive	Hatzell, Larry G	355220	Agent - Property	3/9/2020	3/31/2020
Inactive	Krook, Mary Ann	546039	Agent - Casualty	4/17/2003	6/26/2003
Inactive	Krook, Mary Ann	546039	Agent - Property	4/17/2003	6/26/2003
Inactive	Page, Sue A	363298	Agent - Casualty	4/17/2003	10/18/2007
Inactive	Page, Sue A	363298	Agent - Property	4/17/2003	10/18/2007
Inactive	Pinto, Mark D	536147	Agent - Casualty	4/17/2003	1/13/2005
Denied	Pinto, Mark D	536147	Agent - Life
Inactive	Pinto, Mark D	536147	Agent - Property	4/17/2003	1/13/2005
Inactive	Ridoux, John F	305610	Agent - Casualty	1/23/2007	3/31/2020
Inactive	Ridoux, John F	305610	Agent - Health	1/23/2007	3/31/2020
Inactive	Ridoux, John F	305610	Agent - Life	1/23/2007	3/31/2020
Inactive	Shade, Margie Lou	584593	Agent - Casualty	1/13/2005	11/1/2019
Inactive	Shade, Margie Lou	584593	Agent - Property	1/13/2005	1/1/2020