DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hazlett Jr, George T	DOIID	975788	NAIC NPN	7236682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/7/2017	7/31/2019
Inactive	Non Resident	Agent	Health	11/7/2017	7/31/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/24/2018	7/31/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	2/24/2018	7/31/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/7/2017	1/10/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/7/2017	1/10/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/23/2019	7/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/23/2019	7/31/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/3/2018	7/31/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/24/2018	7/31/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/12/2018	5/9/2019
Inactive	Humana Insurance Company	301104	Agent - Health	6/14/2019	7/31/2019
Inactive	Humana Insurance Company	301104	Agent - Life	6/14/2019	7/31/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/3/2018	5/9/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/4/2019	7/31/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/8/2019	7/31/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/8/2019	7/31/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/8/2019	7/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/23/2019	7/31/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/23/2019	7/31/2019