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DEPARTMENT OF INSURANCE
Affiliations
Name
Small, Stacy Ann
DOIID
643670
NAIC NPN
3312133
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
11/6/2006
6/30/2027
Active
Non Resident
Agent
Health
11/6/2006
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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
11/16/2022
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
11/16/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Health
12/7/2016
4/15/2025
Inactive
Anthem Life Insurance Company
301209
Agent - Life
12/7/2016
4/15/2025
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
8/7/2012
12/19/2019
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
8/7/2012
12/19/2019
Inactive
Humana Insurance Company
301104
Agent - Health
8/7/2012
12/19/2019
Inactive
Humana Insurance Company
301104
Agent - Life
8/7/2012
12/19/2019
Inactive
Kanawha Insurance Company
300127
Agent - Health
8/7/2012
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
8/7/2012
10/22/2015
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/8/2016
2/11/2025
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/8/2016
2/11/2025
Active
Gregory & Appel, Inc.
502133
Agent - Health
12/29/2006
Active
Gregory & Appel, Inc.
502133
Agent - Life
12/29/2006
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