DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Daniel Lee	DOIID	332537	NAIC NPN	7180404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	3/4/2008		12/31/2024
Active	Resident	Agent	Property	10/14/2008		12/31/2024
Active	Resident	Agent	Health	2/26/2008		12/31/2024
Denied	Resident	Agent	Casualty
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	10/11/1999	12/9/1999
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	4/5/2011	10/14/2011
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	4/5/2011	10/14/2011
Inactive	Assurity Life Insurance Company	301099	Agent - Health	10/8/2009	11/8/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/8/2009	11/8/2010
Inactive	Athene Annuity and Life Company	301893	Agent - Life	7/9/2015	12/6/2021
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	11/26/2012	12/19/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	11/26/2012	12/19/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	11/26/2012	12/19/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	11/26/2012	12/19/2012
Inactive	Columbian Life Insurance Company	300810	Agent - Life	9/11/2014	4/3/2017
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/16/2000	7/1/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/16/2000	7/1/2002
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	2/19/2001	7/1/2002
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	2/19/2001	7/1/2002
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/21/2012	3/22/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/21/2012	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/2012	12/24/2012
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/2012	12/24/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/21/2012	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/21/2012	3/22/2013
Denied	Independent Mutual Fire Insurance Company	300851	Agent - Casualty
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	5/7/2020	6/17/2021
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	5/10/2001	7/1/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	5/10/2001	7/1/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	11/26/2008	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	11/26/2008	12/29/2010
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	12/18/2019	10/15/2020
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	12/18/2019	10/15/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/3/2018	12/4/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	4/3/2018	8/8/2018
Active	Security National Life Insurance Company	569786	Agent - Life	2/13/2018
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/28/2010
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/28/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/28/2011	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/28/2011	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Temporary Agent - Ordinary Life (Temporary Life)	10/11/1999	12/9/1999
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/3/2018	12/4/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/3/2018	12/4/2023
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	7/21/2020	8/12/2021
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	7/21/2020	8/12/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Futurity First Insurance Group LLC	676947	Agent - Life	2/26/2019	6/11/2019
Inactive	Futurity First Insurance Group LLC	676947	Agent - Health	2/26/2019	6/11/2019
Inactive	Futurity First Insurance Group LLC	676947	Agent - Property	2/26/2019	6/11/2019
Inactive	Medlink Inc	400721	Agent - Life	6/4/2008	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	6/4/2008	3/31/2024