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DEPARTMENT OF INSURANCE
Affiliations
Name
Roth, Stacey Clancy
DOIID
1121030
NAIC NPN
19796313
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Personal Lines
2/17/2021
1/31/2025
Active
Non Resident
Agent
Health
5/20/2024
1/31/2025
Active
Non Resident
Agent
Casualty
4/27/2023
1/31/2025
Active
Non Resident
Agent
Life
5/20/2024
1/31/2025
Active
Non Resident
Agent
Property
4/27/2023
1/31/2025
* 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
11/15/2024
01/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
American Strategic Insurance Corp
883540
Agent - Personal Lines
1/26/2023
Active
Farmers Direct Property and Casualty Insurance Company
300957
Agent - Personal Lines
2/21/2024
Active
Farmers Property and Casualty Insurance Company
301237
Agent - Personal Lines
2/21/2024
Active
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Personal Lines
1/13/2023
Inactive
Garrison Property and Casualty Insurance Company
301957
Agent - Personal Lines
2/20/2021
7/28/2021
Active
Horace Mann Life Insurance Company
300852
Agent - Health
5/22/2024
Active
Horace Mann Life Insurance Company
300852
Agent - Life
5/22/2024
Active
Progressive Casualty Insurance Company
300696
Agent - Personal Lines
1/23/2023
Inactive
USAA Casualty Insurance Company
300995
Agent - Personal Lines
2/20/2021
7/28/2021
Inactive
USAA General Indemnity Company
300131
Agent - Personal Lines
2/20/2021
7/28/2021
Inactive
United Services Automobile Association
300158
Agent - Personal Lines
2/20/2021
7/28/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Horace Mann Service Corporation
400869
Agent - Casualty
Denied
Horace Mann Service Corporation
400869
Agent - Property
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