DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes, Nathaniel Al	DOIID	1099393	NAIC NPN	16698065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/18/2022		8/31/2026
Active	Non Resident	Agent	Life	9/21/2020		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American National Insurance Company	301861	Agent - Life	6/2/2021	1/18/2022
Active	EMC National Life Company	300388	Agent - Life	10/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/21/2020	12/2/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/1/2023	7/22/2025
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/1/2023	7/22/2025
Active	ReliaStar Life Insurance Company	301712	Agent - Health	5/5/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Life	5/5/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	5/1/2023	7/22/2025
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/1/2023	7/22/2025
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/1/2023	7/22/2025
Inactive	Unum Insurance Company	301499	Agent - Health	5/1/2023	7/22/2025
Inactive	Unum Insurance Company	301499	Agent - Life	5/1/2023	7/22/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hodges-Mace LLC	1059189	Agent - Life	11/22/2022
Denied	Hodges-Mace LLC	1059189	Agent - Health