PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameHayworth, Todd RichardDOIID901194NAIC NPN14253909
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth12/9/201511/30/2019 
InactiveNon ResidentAgentLife12/9/201511/30/2019 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/5/201611/30/2019
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/5/201611/30/2019
InactiveIntegrity Life Insurance Company301687Agent - Life2/17/201611/30/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePersonalized Brokerage Services LLC614133Agent - Life2/5/20161/16/2019
InactivePersonalized Brokerage Services LLC614133Agent - Health2/5/20161/16/2019

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