DEPARTMENT OF INSURANCE

Name	R. Keith Hazelbaker Enterprises DBA : Senior Retirement Services Of Ky, 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	6/6/2025		3/31/2027
Active	Resident	Agent	Health	6/6/2025		3/31/2027

*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	19011 Long Grove Way Louisville, KY 40245

Internet Information

Type	Address
Business Email	keithhaze@gmail.com

Phone Information

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