DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bergeron, Stephanie	DOIID	313138	NAIC NPN	7161640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	12/20/2006	11/30/2008
Inactive	Resident	Agent	Casualty	7/31/2014	11/30/2016
Inactive	Resident	Agent	Health	6/10/2008	12/1/2010
Inactive	Resident	Agent	Life	6/9/2008	12/1/2010
Inactive	Resident	Agent	Property	7/31/2014	11/30/2016
Inactive	Resident	Agent	General Lines	11/15/1994	3/31/1996
Inactive	Resident	Apprentice Adjuster	Not Applicable	11/17/2006	12/20/2006
Inactive	Resident	Staff Adjuster	Property & Casualty	2/10/2017	11/30/2020
* 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	Allstate Indemnity Company	300778	Agent - General Lines	11/15/1994	3/31/1996
Inactive	Allstate Insurance Company	300773	Agent - General Lines	11/15/1994	3/31/1996
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/10/2008	12/10/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/9/2008	12/10/2010
Denied	Assurity Life Insurance Company	301099	Agent - Health
Denied	Assurity Life Insurance Company	301099	Agent - Life
Inactive	Everlake Life Insurance Company	300873	Agent - Health	10/19/1994	7/1/1996
Inactive	Everlake Life Insurance Company	300873	Agent - Life	10/19/1994	7/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	7/30/2009	12/1/2010
Denied	J Smith Lanier & Co	549691	Agent - Casualty
Denied	J Smith Lanier & Co	549691	Agent - Property

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gentry, William Ed	348525	Apprentice Adjuster - Not Applicable	11/17/2006	12/20/2006