DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, Stacey A	DOIID	1236299	NAIC NPN	16455440

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	10/12/2022		9/30/2024
Pending Replacement	Non Resident	Agent	Health	10/12/2022		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
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	3/9/2023
Pending Replacement	American General Life Insurance Company	301585	Agent - Life	3/9/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/29/2023	6/20/2024
Inactive	CICA Life Insurance Company of America	600487	Agent - Life	9/28/2023	11/14/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/7/2022	2/12/2024
Inactive	United Home Life Insurance Company	300421	Agent - Life	1/24/2023	5/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024