DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stockman, Stacey Lee	DOIID	1021283	NAIC NPN	17777945

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/5/2018	8/31/2020
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/22/2019	8/31/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	8/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/22/2019	8/31/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/4/2019	7/29/2020
Inactive	Elixir Insurance Company	696846	Agent - Health	10/1/2019	10/1/2020
Inactive	Federal Insurance Company	301144	Agent - Health	10/7/2019	8/31/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/8/2019	9/28/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/22/2019	8/31/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/2/2019	10/22/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/7/2019	8/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/7/2019	8/31/2020

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	3/4/2019	8/31/2020