DEPARTMENT OF INSURANCE

Affiliations

Name	Lacy, Heather	DOIID	1083731	NAIC NPN	19485101

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/30/2020		4/30/2026
Active	Resident	Agent	Life	9/25/2020		4/30/2026
Active	Resident	Agent	Health	9/23/2020		4/30/2026
Active	Resident	Agent	Property	6/30/2020		4/30/2026
Inactive	Resident	Temporary Agent	Casualty	5/26/2020	6/24/2020
Inactive	Resident	Temporary Agent	Property	5/26/2020	6/24/2020
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/1/2021	3/21/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/1/2021	3/21/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/28/2021	3/21/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/28/2021	3/21/2023
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Casualty	1/29/2021	4/23/2021
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	1/29/2021	4/23/2021
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	5/6/2021	12/5/2023
Inactive	American Strategic Insurance Corp	883540	Agent - Property	5/6/2021	12/5/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/26/2021	4/26/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/26/2021	4/26/2023
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	4/26/2021	4/26/2023
Active	Banner Life Insurance Company	301696	Agent - Life	6/23/2022
Active	Milbank Insurance Company	925185	Agent - Casualty	6/23/2021
Active	Milbank Insurance Company	925185	Agent - Property	6/23/2021
Inactive	Owners Insurance Company	300796	Agent - Casualty	4/26/2021	4/26/2023
Inactive	Owners Insurance Company	300796	Agent - Property	4/26/2021	4/26/2023
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/15/2022	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/15/2022	11/23/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	7/7/2020	4/23/2021
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	7/7/2020	4/23/2021
Inactive	State Farm Fire and Casualty Company	301809	Temporary Agent - Casualty	5/26/2020	6/24/2020
Inactive	State Farm Fire and Casualty Company	301809	Temporary Agent - Property	5/26/2020	6/24/2020
Inactive	State Farm Life Insurance Company	301810	Agent - Life	9/29/2020	4/23/2021
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	7/7/2020	4/23/2021
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/29/2020	4/23/2021
Inactive	State Farm Mutual Automobile Insurance Company	301732	Temporary Agent - Casualty	5/26/2020	6/24/2020
Inactive	Westfield Insurance Company	301950	Agent - Casualty	4/29/2021	3/2/2023
Inactive	Westfield Insurance Company	301950	Agent - Property	4/29/2021	3/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Real Good Group, LLC	981194	Agent - Casualty	5/27/2021	3/31/2024
Inactive	Real Good Group, LLC	981194	Agent - Property	5/27/2021	3/31/2024
Inactive	Real Good Group, LLC	981194	Agent - Life	5/27/2021	3/31/2024
Denied	Real Good Group, LLC	981194	Agent - Health