DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hartz, William R	DOIID	655061	NAIC NPN	1711432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/10/2007	5/31/2021
Inactive	Non Resident	Agent	Life	5/10/2007	5/31/2021
Inactive	Non Resident	Agent	Health	5/10/2007	5/31/2021
Inactive	Non Resident	Agent	Casualty	5/10/2007	5/31/2021
* 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	ACE American Insurance Company	300625	Agent - Casualty	10/26/2018	5/31/2021
Inactive	ACE American Insurance Company	300625	Agent - Health	10/26/2018	5/31/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	10/26/2018	5/31/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/21/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/21/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	11/21/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/21/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/21/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/21/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/21/2013	12/5/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/10/2011	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/10/2011	12/5/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Key Insurance & Benefits Services Inc	628020	Agent - Health	11/18/2014	4/13/2015
Inactive	Key Insurance & Benefits Services Inc	628020	Agent - Life	11/18/2014	4/13/2015
Denied	Key Insurance & Benefits Services Inc	628020	Agent - Property
Denied	Key Insurance & Benefits Services Inc	628020	Agent - Casualty
Denied	Sovereign Benefits Consulting Inc	641959	Agent - Health
Denied	Sovereign Benefits Consulting Inc	641959	Agent - Life
Denied	Sovereign Benefits Consulting Inc	641959	Agent - Property
Denied	Sovereign Benefits Consulting Inc	641959	Agent - Casualty
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/24/2019	5/31/2021
Denied	Usi Insurance Services LLC	669260	Agent - Life
Inactive	Usi Insurance Services LLC	669260	Agent - Property	1/24/2019	5/31/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	1/24/2019	5/31/2021