DEPARTMENT OF INSURANCE
Affiliations
NameHazelton, Chandlar EvanDOIID951438NAIC NPN17294980
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth4/17/2017 2/28/2027
ActiveNon ResidentAgentLife4/17/2017 2/28/2027
* 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
Agent12/15/202402/28/202501/03/202501/03/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health5/25/2017 
ActiveAetna Health and Life Insurance Company300523Agent - Health3/13/2019 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/4/2020 
ActiveAetna Life Insurance Company301140Agent - Health5/25/2017 
ActiveAetna Life Insurance Company301140Agent - Life5/25/2017 
InactiveAmerican Continental Insurance Company643130Agent - Life3/13/20198/11/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/2/2024 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/21/202112/20/2022
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/2/2024 
InactiveArcadian Health Plan, Inc.728196Agent - Health1/22/20184/2/2019
ActiveCIGNA Health & Life Insurance Company301783Agent - Health5/9/2017 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/2/2024 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/13/2019 
ActiveCoventry Health and Life Insurance Company301771Agent - Health6/5/2017 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/7/2024 
InactiveElips Life Insurance Company301087Agent - Health1/28/20229/13/2024
InactiveFidelity Security Life Insurance Company300466Agent - Health2/8/20184/10/2019
InactiveFidelity Security Life Insurance Company300466Agent - Life2/8/20184/10/2019
ActiveFirst Health Life & Health Insurance Company301735Agent - Health5/25/2017 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health5/24/20176/8/2018
InactiveHumana Health Plan, Inc.300142Agent - Health5/24/20176/8/2018
InactiveHumana Insurance Company301104Agent - Health11/26/20184/2/2019
InactiveHumana Insurance Company301104Agent - Life5/24/20176/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/24/20176/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/24/20176/8/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health6/18/20184/2/2019
InactiveLoyal American Life Insurance Company301172Agent - Health10/5/20184/2/2019
InactiveLoyal American Life Insurance Company301172Agent - Life10/5/20184/2/2019
InactiveLumico Life Insurance Company300354Agent - Life6/15/20211/17/2023
InactiveMedco Containment Life Insurance Company301557Agent - Health4/30/201812/17/2019
InactiveMetropolitan Life Insurance Company301948Agent - Health5/23/20174/2/2019
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health10/3/2023 
InactiveOmaha Health Insurance Company301296Agent - Health11/4/20195/15/2023
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
InactiveTransamerica Life Insurance Company300571Agent - Health6/5/20174/4/2019
InactiveTransamerica Life Insurance Company300571Agent - Life6/5/20174/4/2019
InactiveUnited World Life Insurance Company300532Agent - Health1/28/202012/22/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/17/20174/2/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health4/17/201712/21/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/20184/2/2019
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/17/20174/2/2019
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/25/202012/29/2021
InactiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health10/25/20231/5/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/25/202012/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlight Health Market Insurance Solutions Inc643602Agent - Life5/24/20173/28/2019
InactiveAlight Health Market Insurance Solutions Inc643602Agent - Health11/8/20199/2/2020
InactiveDesignated Agent Company Inc.681257Agent - Health5/24/20174/17/2019

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