DEPARTMENT OF INSURANCE
Affiliations
NameR. Keith Hazelbaker Enterprises
DBA : Senior Retirement Services of Kentucky, Senior Retirement Services Of Kentucky, Financial Planning Concepts		DOIID610026NAIC NPN8489215
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth6/23/2023 3/31/2025
ActiveResidentAgentLife6/23/2023 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health7/8/20051/8/2014
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/8/20051/8/2014
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life8/2/20223/31/2023
InactiveAmerican National Insurance Company301861Agent - Health11/14/20136/3/2021
InactiveAmerican National Insurance Company301861Agent - Life11/14/20136/11/2021
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life4/20/201710/1/2019
InactiveAthene Annuity & Life Assurance Company301798Agent - Life1/8/20128/13/2015
InactiveAthene Annuity and Life Company301893Agent - Life9/1/20213/31/2023
InactiveAtlantic Coast Life Insurance Company642114Agent - Life3/1/20233/31/2023
InactiveBankers Fidelity Assurance Company554627Agent - Health5/14/201711/12/2020
InactiveBankers Fidelity Assurance Company554627Agent - Life5/14/201711/12/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Health5/14/201711/12/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Life5/14/201711/12/2020
InactiveCIGNA Health & Life Insurance Company301783Agent - Health5/31/201712/22/2020
InactiveCIGNA Health & Life Insurance Company301783Agent - Life5/31/201712/22/2020
InactiveClear Spring Life and Annuity Company300919Agent - Life5/28/20156/11/2021
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/20186/11/2021
InactiveEquiTrust Life Insurance Company502870Agent - Life7/29/20051/13/2009
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life12/29/20213/31/2023
InactiveGenworth Life Insurance Company300623Agent - Health9/17/200712/11/2018
InactiveGenworth Life Insurance Company300623Agent - Life9/17/200712/11/2018
InactiveGerber Life Insurance Company300529Agent - Health7/6/201712/14/2020
InactiveGerber Life Insurance Company300529Agent - Life7/6/201712/14/2020
InactiveGuarantee Trust Life Insurance Company301043Agent - Health4/27/20171/2/2019
InactiveGuarantee Trust Life Insurance Company301043Agent - Life4/27/20171/2/2019
InactiveGuaranty Income Life Insurance Company552451Agent - Health7/16/20146/11/2021
InactiveGuaranty Income Life Insurance Company552451Agent - Life7/16/20146/11/2021
InactiveInvestors Life Insurance Company of North America301660Agent - Life8/7/20073/1/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Health7/25/200812/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life7/25/200812/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health7/25/20086/11/2021
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life7/25/20086/11/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Health8/24/20116/11/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Life8/24/20116/11/2021
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life9/20/20176/11/2021
InactiveMedico Insurance Company301559Agent - Health7/28/201712/26/2018
InactiveMedico Insurance Company301559Agent - Life7/28/201712/26/2018
InactiveMedico Life and Health Insurance Company907406Agent - Health1/4/201912/28/2020
InactiveMedico Life and Health Insurance Company907406Agent - Life1/4/201912/28/2020
InactiveMutual of Omaha Insurance Company301012Agent - Health3/11/200812/26/2012
ActiveNassau Life and Annuity Company513671Agent - Life3/5/2024 
InactiveNational Western Life Insurance Company301515Agent - Health7/27/20052/14/2007
InactiveNational Western Life Insurance Company301515Agent - Life12/15/20138/9/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health12/27/20166/11/2021
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/27/20166/11/2021
InactiveNorth American Company for Life and Health Insurance300291Agent - Life11/21/20114/26/2019
ActiveOceanview Life and Annuity Company301868Agent - Life1/27/2024 
InactiveOxford Life Insurance Company301079Agent - Health6/22/20126/11/2021
InactiveOxford Life Insurance Company301079Agent - Life6/22/20126/11/2021
InactivePruco Life Insurance Company300954Agent - Life11/26/202112/21/2022
InactiveReliance Standard Life Insurance Company300584Agent - Life10/2/20176/11/2021
InactiveSecurity Life of Denver Insurance Company300648Agent - Health10/15/20142/27/2016
InactiveSecurity Life of Denver Insurance Company300648Agent - Life10/15/20142/27/2016
ActiveSentinel Security Life Insurance Company935789Agent - Life1/13/2024 
InactiveStandard Insurance Company300185Agent - Health7/12/20176/11/2021
InactiveStandard Insurance Company300185Agent - Life7/12/20176/11/2021
InactiveState Life Insurance Company301497Agent - Health8/4/20166/11/2021
InactiveState Life Insurance Company301497Agent - Life8/4/20166/11/2021
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health7/27/200612/9/2014
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life7/27/200612/9/2014
ActiveTransamerica Life Insurance Company300571Agent - Health7/3/2023 
ActiveTransamerica Life Insurance Company300571Agent - Life7/3/2023 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health6/12/201710/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life6/12/201710/1/2020
InactiveUnited World Life Insurance Company300532Agent - Health3/11/200812/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/11/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/11/200812/26/2012
InactiveVenerable Insurance and Annuity Company301006Agent - Life9/21/20057/23/2016
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementHazelbaker, Richard Keith 384277Agent - Health6/23/2023 
Pending ReplacementHazelbaker, Richard Keith 384277Agent - Life6/23/2023 

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