DEPARTMENT OF INSURANCE

Name	Hazel, Beth R	DOIID	723220	NAIC NPN	15669833

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Property	3/30/2010		7/31/2025
Active	Resident	Agent	Casualty	3/30/2010		7/31/2025

*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	05/15/2025	07/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	Assuredpartners Nl, Llc 1945 Scottsville Rd Ste 100Bowling Green, KY 421045824

Internet Information

Type	Address
Business Email	beth.hazel@assuredpartners.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(270) 781-8181