DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayhurst, Stacey	DOIID	1119949	NAIC NPN	19785210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/8/2021		9/30/2024
Active	Non Resident	Agent	Life	2/8/2021		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	SiriusPoint America Insurance Company	301148	Agent - Health	3/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Sidecar Health Insurance Solutions LLC	1027229	Agent - Life
Inactive	Sidecar Health Insurance Solutions LLC	1027229	Agent - Health	3/4/2021	4/5/2023