DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hays, Lacosta	DOIID	882235	NAIC NPN	17637249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	7/21/2015		1/31/2026
Active	Resident	Agent	Life	7/14/2015		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/31/2015	2/11/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/31/2015	2/11/2020
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/10/2015
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/10/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trucordia Insurance Services, LLC	976137	Agent - Life	5/6/2025
Active	Trucordia Insurance Services, LLC	976137	Agent - Health	5/6/2025