DEPARTMENT OF INSURANCE
Affiliations
NameHazelbaker, Richard ChaseDOIID794238NAIC NPN16803247
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife10/23/2012 4/30/2026
ActiveResidentAgentHealth10/23/2012 4/30/2026
ActiveResidentAgentProperty8/12/2013 4/30/2026
ActiveResidentAgentCasualty8/12/2013 4/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
InactiveAetna Health and Life Insurance Company300523Agent - Health2/12/201612/15/2020
InactiveAmerican Continental Insurance Company643130Agent - Life5/16/201712/15/2020
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life7/3/201311/15/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/15/201311/20/2013
InactiveAmerican National Insurance Company301861Agent - Health11/14/20146/1/2021
InactiveAmerican National Insurance Company301861Agent - Life11/14/20143/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/24/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health3/1/20134/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life3/1/20134/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/12/2017 
InactiveBankers Fidelity Assurance Company554627Agent - Health5/21/201712/14/2020
InactiveBankers Fidelity Assurance Company554627Agent - Life5/21/201712/14/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Health5/21/201711/12/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Life5/21/201711/12/2020
InactiveCIGNA Health & Life Insurance Company301783Agent - Health11/19/201612/22/2020
InactiveCIGNA Health & Life Insurance Company301783Agent - Life11/19/201612/22/2020
InactiveCentral States Indemnity Company of Omaha300285Agent - Health8/27/201312/15/2017
ActiveClear Spring Life and Annuity Company300919Agent - Life10/11/2016 
InactiveCompBenefits Dental, Inc.591692Agent - Health3/27/201512/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health11/13/201912/13/2022
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/16/201712/15/2020
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/2021 
InactiveDental Concern Inc. (The)301641Agent - Health11/1/20166/15/2018
InactiveEquiTrust Life Insurance Company502870Agent - Life7/11/20139/23/2015
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/24/20167/29/2019
InactiveGPM Health and Life Insurance Company927255Agent - Health6/17/20196/22/2022
InactiveGuarantee Trust Life Insurance Company301043Agent - Health3/27/201310/30/2023
InactiveGuarantee Trust Life Insurance Company301043Agent - Life3/27/201310/30/2023
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/24/201412/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/9/201912/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health2/13/202012/13/2022
ActiveHumana Insurance Company301104Agent - Health10/24/2014 
ActiveHumana Insurance Company301104Agent - Life10/24/2014 
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/24/201412/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/24/201412/13/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health10/24/201412/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/13/2022
InactiveKanawha Insurance Company300127Agent - Health10/24/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life10/24/201410/22/2015
InactiveLiberty Bankers Life Insurance Company542461Agent - Life10/30/201311/29/2016
InactiveMedico Corp Life Insurance Company301777Agent - Health1/12/20175/15/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life1/12/20175/15/2018
InactiveMedico Insurance Company301559Agent - Health8/26/201312/21/2016
InactiveMedico Insurance Company301559Agent - Life8/26/201312/21/2016
InactiveMedico Life and Health Insurance Company907406Agent - Health3/5/202012/28/2020
InactiveMedico Life and Health Insurance Company907406Agent - Life3/5/202012/28/2020
InactiveMinnesota Life Insurance Company300488Agent - Health9/11/20133/7/2018
InactiveMinnesota Life Insurance Company300488Agent - Life9/11/20133/7/2018
InactiveNational Guardian Life Insurance Company300596Agent - Life2/26/201512/13/2016
InactiveNational Western Life Insurance Company301515Agent - Life6/20/201312/10/2019
InactiveOxford Life Insurance Company301079Agent - Health4/14/20145/31/2016
InactiveOxford Life Insurance Company301079Agent - Life4/14/20145/31/2016
InactiveSILAC Insurance Company300535Agent - Health2/20/201512/30/2015
InactiveSILAC Insurance Company300535Agent - Life2/20/201512/30/2015
InactiveSilverScript Insurance Company663526Agent - Health10/19/20174/3/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/25/20199/22/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/25/20199/22/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/9/20192/21/2022
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health2/2/20172/26/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/20192/21/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/9/201912/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/9/20192/21/2022
InactiveVenerable Insurance and Annuity Company301006Agent - Health12/26/20137/23/2016
InactiveVenerable Insurance and Annuity Company301006Agent - Life12/26/20137/23/2016
InactiveWashington National Insurance Company300587Agent - Health9/5/20185/7/2019
InactiveWashington National Insurance Company300587Agent - Life9/5/20185/7/2019
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/27/20194/8/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/27/20194/8/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDesignated Agent Company Inc.681257Agent - Life3/1/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health3/1/2013 

© Commonwealth of Kentucky. All rights reserved.