DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Katrina Leah	DOIID	1286504	NAIC NPN	20788029

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Property	8/7/2023	10/1/2024
Inactive	Resident	Agent	Casualty	8/2/2023	10/1/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	11/14/2023	10/1/2024
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	11/14/2023	10/1/2024
Inactive	American Economy Insurance Company	300315	Agent - Casualty	1/8/2024	10/1/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	1/8/2024	10/1/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/14/2023	10/1/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/14/2023	10/1/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/18/2023	10/1/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/18/2023	10/1/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/16/2024	10/25/2024
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/16/2024	10/25/2024
Inactive	Erie Insurance Company	300230	Agent - Casualty	8/16/2023	10/10/2024
Inactive	Erie Insurance Company	300230	Agent - Property	8/16/2023	10/10/2024
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	8/16/2023	10/10/2024
Inactive	Erie Insurance Exchange	300789	Agent - Property	8/16/2023	10/10/2024
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	9/1/2023	11/1/2024
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	9/1/2023	11/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/18/2023	10/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/18/2023	10/1/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/11/2023	10/1/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	9/11/2023	10/1/2024
Inactive	Grange Insurance Company	300234	Agent - Casualty	9/11/2023	10/1/2024
Inactive	Grange Insurance Company	300234	Agent - Property	9/11/2023	10/1/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/11/2023	10/1/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/11/2023	10/1/2024
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/8/2023	10/1/2024
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/8/2023	10/1/2024
Inactive	Keystone National Insurance Company	745173	Agent - Casualty	12/13/2023	10/1/2024
Inactive	Keystone National Insurance Company	745173	Agent - Property	12/13/2023	10/1/2024
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	9/11/2023	10/1/2024
Inactive	Trustgard Insurance Company	300104	Agent - Property	9/11/2023	10/1/2024
Inactive	West Bend Insurance Company	672974	Agent - Casualty	10/10/2023	10/1/2024
Inactive	West Bend Insurance Company	672974	Agent - Property	10/10/2023	10/1/2024
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/14/2023	10/1/2024
Inactive	Westfield Insurance Company	301950	Agent - Property	8/14/2023	10/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ison Insurance Agency Inc.	398832	Agent - Casualty	8/9/2023	10/1/2024
Inactive	Ison Insurance Agency Inc.	398832	Agent - Property	8/9/2023	10/1/2024