DEPARTMENT OF INSURANCE

Name	R. Haynes & Associates	DOIID	811075	NAIC NPN	16971717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Life	5/28/2013		3/31/2025
Active	Resident	Agent	Health	5/28/2013		3/31/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	12411 Valley Park Court Jeffersontown, KY 40299

Phone Information

Type	Phone
Business / Home Office	(502) 267-0144