DEPARTMENT OF INSURANCE

Affiliations

Name	Hatkewicz, Richard	DOIID	517123	NAIC NPN	1974979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/12/2002	2/28/2019
Inactive	Non Resident	Agent	Life	10/30/2000	2/28/2019
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	4/8/2008	2/28/2019
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/8/2008	2/28/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/22/2013	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/22/2013	12/8/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/13/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/13/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/13/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	6/7/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/7/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/13/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/13/2016	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/22/2013	4/25/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/22/2013	4/25/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/4/2014	2/28/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/4/2014	2/28/2019
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/22/2009	11/3/2009
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/22/2009	11/3/2009
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	8/20/2003	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	8/20/2003	8/22/2011
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Health	4/12/2002	9/21/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	10/30/2000	3/3/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/30/2000	2/18/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/4/2014	2/28/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/4/2014	2/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	12/15/2006	2/28/2019
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	12/15/2006	2/28/2019