DEPARTMENT OF INSURANCE

Affiliations

Name	Hazard, Jeff James	DOIID	876276	NAIC NPN	17549200

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/27/2015	6/2/2023
Inactive	Non Resident	Agent	Life	4/27/2015	6/2/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	2/22/2016	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/22/2016	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/22/2016	7/6/2022
Inactive	All Savers Insurance Company	301940	Agent - Health	3/11/2016	12/6/2017
Inactive	All Savers Insurance Company	301940	Agent - Life	3/11/2016	12/6/2017
Inactive	American United Life Insurance Company	300498	Agent - Health	3/1/2016	6/30/2017
Inactive	American United Life Insurance Company	300498	Agent - Life	3/1/2016	6/30/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/2/2016	3/31/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/24/2016	6/15/2018
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/22/2016	6/15/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	2/22/2016	6/15/2022
Inactive	Dental Care Plus Inc.	301495	Agent - Health	3/10/2016	6/2/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/12/2016	6/15/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/1/2016	7/16/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/1/2016	7/16/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/1/2016	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/1/2016	10/5/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/10/2016	5/30/2023
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/10/2016	5/30/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/21/2016	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/21/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/24/2016	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/21/2016	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/24/2016	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/24/2016	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/21/2016	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/31/2017	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/31/2017	8/9/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/14/2016	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/14/2016	10/8/2021
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/23/2016	6/2/2023
Inactive	Prudential Insurance Company of America	300784	Agent - Life	6/23/2016	6/2/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/14/2016	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/14/2016	10/8/2021
Inactive	Union Security Insurance Company	301844	Agent - Health	3/7/2016	3/6/2018
Inactive	Union Security Insurance Company	301844	Agent - Life	3/7/2016	3/6/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/24/2016	6/2/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/24/2016	6/2/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2017	12/6/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2017	12/6/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/26/2016	6/2/2023
Inactive	Yourpeople Inc	844313	Agent - Life	2/22/2016	3/2/2018
Inactive	Yourpeople Inc	844313	Agent - Health	2/22/2016	3/2/2018