DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hazel, Beth R	DOIID	723220	NAIC NPN	15669833

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	3/30/2010		7/31/2025
Active	Resident	Agent	Casualty	3/30/2010		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/13/2010	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/13/2010	12/19/2023
Active	Acadia Insurance Company	557871	Agent - Casualty	4/2/2024
Active	Acadia Insurance Company	557871	Agent - Property	4/2/2024
Active	Continental Western Insurance Company	300576	Agent - Casualty	4/2/2024
Active	Continental Western Insurance Company	300576	Agent - Property	4/2/2024
Active	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	4/2/2024
Active	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	4/2/2024
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	4/2/2024
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Property	4/2/2024
Active	Union Insurance Company	547433	Agent - Casualty	4/2/2024
Active	Union Insurance Company	547433	Agent - Property	4/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	6/25/2013	12/19/2023
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	6/25/2013	12/19/2023
Inactive	Neace Lukens, Inc.	398909	Agent - Casualty	8/8/2010	3/31/2014
Inactive	Neace Lukens, Inc.	398909	Agent - Property	8/8/2010	3/31/2014