DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Seidl, Stephanie Ann	DOIID	1016780	NAIC NPN	18888846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/25/2018		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	10/23/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/9/2021	9/24/2022
Active	United States Fire Insurance Company	582240	Agent - Health	4/20/2021
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/6/2021	9/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/2/2020	4/20/2022