DEPARTMENT OF INSURANCE
Affiliations
NameSmall, Stacy AnnDOIID643670NAIC NPN3312133
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife11/6/2006 6/30/2027
ActiveNon ResidentAgentHealth11/6/2006 6/30/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/16/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health11/16/2022 
InactiveAnthem Life Insurance Company301209Agent - Health12/7/20164/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life12/7/20164/15/2025
InactiveDental Concern Inc. (The)301641Agent - Health8/7/201212/19/2019
InactiveHumana Health Plan, Inc.300142Agent - Health8/7/201212/19/2019
InactiveHumana Insurance Company301104Agent - Health8/7/201212/19/2019
InactiveHumana Insurance Company301104Agent - Life8/7/201212/19/2019
InactiveKanawha Insurance Company300127Agent - Health8/7/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life8/7/201210/22/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health12/8/20162/11/2025
InactiveDesignated Agent Company Inc.681257Agent - Life12/8/20162/11/2025
ActiveGregory & Appel, Inc.502133Agent - Health12/29/2006 
ActiveGregory & Appel, Inc.502133Agent - Life12/29/2006 

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