DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Diaz, Stacey Jamilette	DOIID	1169184	NAIC NPN	19355147

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/27/2021	11/30/2023
Inactive	Non Resident	Agent	Property	10/27/2021	11/30/2023
Active	Non Resident	Staff Adjuster	Property & Casualty	5/6/2022		11/30/2025
* 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
Staff Adjuster	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	10/28/2021	4/8/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	10/28/2021	4/8/2022
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	11/9/2021	11/16/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	11/9/2021	11/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	10/29/2021	11/16/2022
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	10/29/2021	11/16/2022