DEPARTMENT OF INSURANCE

Name	R. Keith Hazelbaker Enterprises DBA : Senior Retirement Services of Kentucky, Senior Retirement Services Of Kentucky, Financial Planning Concepts	DOIID	610026	NAIC NPN	8489215

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	6/23/2023		3/31/2025
Active	Resident	Agent	Health	6/23/2023		3/31/2025

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

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

Address Information

Type	Address
Business / Home Office	19011 Long Grove Way Louisville, KY 40245

Phone Information

Type	Phone
Business / Home Office	(502) 494-5852