DEPARTMENT OF INSURANCE

Affiliations

Name	Hazelton, Farah Qubain	DOIID	884115	NAIC NPN	17601037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/22/2015	9/30/2026
Active	Non Resident	Agent	Property	7/22/2015	9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	10/23/2015
Active	ACE American Insurance Company	300625	Agent - Property	10/23/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/23/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/23/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	10/23/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	10/23/2015
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	10/28/2015
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	10/28/2015
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/28/2015
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/28/2015
Active	American Fire and Casualty Company	300567	Agent - Casualty	10/28/2015
Active	American Fire and Casualty Company	300567	Agent - Property	10/28/2015
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	10/23/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	10/23/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/28/2015	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/28/2015	4/26/2024
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/3/2015	7/23/2019
Inactive	Great American Insurance Company	301586	Agent - Property	8/3/2015	7/23/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/3/2015	7/23/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/3/2015	7/23/2019
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	10/28/2015
Active	Hanover American Insurance Company (The)	300447	Agent - Property	10/28/2015
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	10/28/2015
Active	Hanover Insurance Company (The)	300508	Agent - Property	10/28/2015
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/24/2017
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	4/24/2017
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/23/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	10/23/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/28/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/28/2015	2/3/2023
Active	Markel Insurance Company	301475	Agent - Casualty	10/22/2015
Active	Markel Insurance Company	301475	Agent - Property	10/22/2015
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	10/28/2015
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	10/28/2015
Active	NGM Insurance Company	583837	Agent - Casualty	10/29/2015
Active	NGM Insurance Company	583837	Agent - Property	10/29/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/28/2015	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/28/2015	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/28/2015
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/28/2015
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/28/2015
Active	Ohio Security Insurance Company	300622	Agent - Property	10/28/2015
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	10/23/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	10/23/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/28/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/28/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/28/2015	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	10/28/2015	5/8/2025
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	4/24/2017
Active	Twin City Fire Insurance Company	300721	Agent - Property	4/24/2017
Active	West American Insurance Company	301112	Agent - Casualty	10/28/2015
Active	West American Insurance Company	301112	Agent - Property	10/28/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Marsh & Mclennan Agency LLC	716460	Agent - Property	2/13/2025
Active	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	2/13/2025
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	9/25/2015	4/4/2025
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	9/25/2015	4/4/2025