DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hardwick, Daniel	DOIID	618385	NAIC NPN	8528628

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/21/2005	6/30/2014
Inactive	Non Resident	Agent	Life	10/21/2005	6/30/2014
* 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 National Insurance Company	301861	Agent - Health	6/30/2006	6/30/2014
Inactive	American National Insurance Company	301861	Agent - Life	6/30/2006	6/30/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	7/20/2012
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/10/2006	2/9/2007
Inactive	Companion Life Insurance Company	300191	Agent - Life	1/10/2006	2/9/2007
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/4/2007	7/20/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/13/2009	7/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	12/20/2006	7/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	12/20/2006	7/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/20/2006	7/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/20/2006	7/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/20/2006	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/20/2006	2/24/2012
Inactive	Revol One Insurance Company	300681	Agent - Life	4/8/2010	5/31/2012
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	2/7/2008	6/30/2014
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	2/7/2008	6/30/2014
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	6/16/2011	6/30/2014
Inactive	Time Insurance Company	300683	Agent - Health	10/31/2005	5/18/2010
Inactive	Time Insurance Company	300683	Agent - Life	10/31/2005	5/18/2010

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 - Health	12/2/2013	6/30/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013	6/30/2014
Inactive	PJP Health Agency Inc	693392	Agent - Health	4/29/2010	11/18/2013
Inactive	PJP Health Agency Inc	693392	Agent - Life	4/29/2010	11/18/2013