DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hartland Ins Services Inc	DOIID	863462	NAIC NPN	2105301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/12/2014	4/1/2017
Inactive	Non Resident	Agent	Health	12/12/2014	4/1/2017
* 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	Anthem Life Insurance Company	301209	Agent - Health	12/29/2014	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/29/2014	11/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/4/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/4/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/4/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/4/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/4/2016	12/13/2016
Inactive	Time Insurance Company	300683	Agent - Health	12/16/2014	4/1/2017
Inactive	Time Insurance Company	300683	Agent - Life	12/16/2014	4/1/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/8/2016	4/1/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	4/1/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/8/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/8/2016	4/1/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kleanthis, George P	861906	Agent - Health	12/12/2014	1/31/2017
Inactive	Kleanthis, George P	861906	Agent - Life	12/12/2014	1/31/2017