DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Washa, Stacey Frances	DOIID	1288205	NAIC NPN	12497280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/27/2023		1/31/2028
Active	Non Resident	Agent	Health	7/27/2023		1/31/2028
* 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	Minnesota Life Insurance Company	300488	Agent - Health	8/9/2023
Active	Minnesota Life Insurance Company	300488	Agent - Life	8/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cetera Wealth Services LLC	400814	Agent - Life	9/14/2023
Active	Cetera Wealth Services LLC	400814	Agent - Health	9/14/2023