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.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202604/30/2026   
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
ActiveHumana Medical Plan, Inc.801568Agent - Health7/29/2025 
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.