DEPARTMENT OF INSURANCE

Affiliations

Name	Haselkorn, Jeff	DOIID	890217	NAIC NPN	1017520

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	4/8/2020	8/31/2026
Active	Non Resident	Agent	Health	9/8/2015	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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/8/2022	8/30/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/8/2022	8/30/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/8/2022	8/30/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/1/2023	1/19/2024
Inactive	CHA HMO, Inc.	300662	Agent - Health	12/20/2023	1/19/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/1/2023	1/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/8/2022	8/30/2022
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	4/11/2020	11/19/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/5/2023	1/19/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/23/2023	1/19/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/1/2023	1/19/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/8/2023	1/19/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/23/2023	1/19/2024
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	4/11/2020	11/19/2021
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	4/11/2020	11/19/2021
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	4/11/2020	11/19/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/9/2021	2/14/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/5/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/9/2021	2/14/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/9/2021	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/11/2016	12/19/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/9/2021	2/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023	1/19/2024