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DEPARTMENT OF INSURANCE
Affiliations
Name
Mirts, Hazen Jason
DOIID
615788
NAIC NPN
5961468
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
9/26/2005
12/31/2026
Active
Non Resident
Agent
Health
9/26/2005
12/31/2026
* 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
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
2/23/2010
1/9/2022
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
2/23/2010
1/9/2022
Inactive
American Fidelity Assurance Company
301004
Agent - Health
11/6/2007
12/24/2008
Inactive
American Fidelity Assurance Company
301004
Agent - Life
11/6/2007
12/24/2008
Inactive
American General Assurance Company
300586
Agent - Health
3/29/2006
12/31/2012
Inactive
American General Assurance Company
300586
Agent - Life
3/29/2006
12/31/2012
Inactive
American General Life Insurance Company
301585
Agent - Health
12/7/2011
1/8/2018
Inactive
American General Life Insurance Company
301585
Agent - Life
12/7/2011
1/8/2018
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
3/9/2012
12/31/2012
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
3/9/2012
12/31/2012
Active
American Heritage Life Insurance Company
300272
Agent - Health
3/10/2020
Active
American Heritage Life Insurance Company
300272
Agent - Life
3/10/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Health
11/26/2013
12/16/2024
Inactive
Anthem Life Insurance Company
301209
Agent - Life
11/26/2013
12/16/2024
Inactive
Assurity Life Insurance Company
301099
Agent - Health
8/15/2024
12/9/2024
Inactive
Assurity Life Insurance Company
301099
Agent - Life
8/15/2024
12/9/2024
Active
Boston Mutual Life Insurance Company
300143
Agent - Health
5/15/2020
Active
Boston Mutual Life Insurance Company
300143
Agent - Life
5/15/2020
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
4/9/2013
12/10/2018
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
3/2/2012
6/11/2014
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
3/2/2012
6/11/2014
Inactive
Continental American Insurance Company
301700
Agent - Health
10/23/2006
1/3/2022
Inactive
Continental American Insurance Company
301700
Agent - Life
10/23/2006
1/3/2022
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
4/9/2013
12/10/2018
Inactive
Golden Rule Insurance Company
301943
Agent - Health
12/24/2013
1/4/2022
Inactive
Golden Rule Insurance Company
301943
Agent - Life
12/24/2013
1/4/2022
Inactive
HCC Life Insurance Company
301827
Agent - Health
3/7/2016
10/3/2016
Inactive
HM Life Insurance Company
301408
Agent - Health
3/22/2007
12/29/2016
Inactive
HM Life Insurance Company
301408
Agent - Life
3/22/2007
12/29/2016
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
8/5/2014
2/23/2018
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
11/6/2013
12/10/2018
Inactive
Humana Insurance Company
301104
Agent - Health
4/9/2013
12/10/2018
Inactive
Humana Insurance Company
301104
Agent - Life
8/4/2014
12/10/2018
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
8/4/2014
12/10/2018
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
8/4/2014
12/10/2018
Inactive
HumanaDental Insurance Company
301457
Agent - Health
3/23/2012
12/14/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
3/23/2012
12/14/2012
Inactive
John Alden Life Insurance Company
300573
Agent - Health
1/21/2006
1/24/2013
Inactive
John Alden Life Insurance Company
300573
Agent - Life
1/21/2006
1/24/2013
Inactive
Kanawha Insurance Company
300127
Agent - Health
11/6/2013
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
11/6/2013
10/22/2015
Active
National Guardian Life Insurance Company
300596
Agent - Health
7/8/2019
Active
National Health Insurance Company
300554
Agent - Health
10/4/2022
Active
National Health Insurance Company
300554
Agent - Life
10/4/2022
Active
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Health
10/27/2009
Inactive
Time Insurance Company
300683
Agent - Health
10/30/2012
11/22/2019
Inactive
Time Insurance Company
300683
Agent - Life
10/30/2012
11/22/2019
Active
Transamerica Life Insurance Company
300571
Agent - Health
3/26/2025
Active
Transamerica Life Insurance Company
300571
Agent - Life
3/26/2025
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
6/5/2007
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
6/5/2007
10/1/2008
Inactive
Unified Life Insurance Company
543169
Agent - Health
3/9/2016
12/12/2017
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
11/12/2015
11/4/2016
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
11/12/2015
11/4/2016
Active
Wellfleet Insurance Company
300542
Agent - Health
6/24/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
11/26/2013
2/10/2025
Inactive
Designated Agent Company Inc.
681257
Agent - Health
11/26/2013
2/10/2025
Active
Enrollment First, Inc
644197
Agent - Life
11/15/2006
Active
Enrollment First, Inc
644197
Agent - Health
11/15/2006
Inactive
Insurance First Inc
676575
Agent - Life
3/20/2008
3/31/2010
Inactive
Insurance First Inc
676575
Agent - Health
3/20/2008
3/31/2010
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