DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Cortis Kash	DOIID	340437	NAIC NPN	7187223

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Credit Life & Health	11/16/1993	8/7/2000
Inactive	Resident	Agent	Health	1/23/2015	8/1/2017
Inactive	Resident	Agent	Life	1/23/2015	8/1/2017
Inactive	Resident	Agent	Casualty	1/23/2015	8/1/2017
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	7/31/2013
Inactive	Resident	Agent	Property	1/23/2015	8/1/2017
* 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	American General Life Insurance Company	301585	Agent - Health	12/27/2006	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	12/27/2006	10/25/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/9/2001	8/1/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/9/2001	8/1/2013
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/24/2007	12/30/2008
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/24/2007	12/30/2008
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/16/2003	8/1/2013
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/16/2009	11/14/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/16/2009	11/14/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/30/2003	12/19/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/30/2003	12/19/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	4/26/2007	8/1/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	4/26/2007	8/1/2013
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	7/30/2004	6/8/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	8/24/2009	8/1/2013
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	8/24/2009	8/1/2013
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/24/2009	7/31/2013
Inactive	MedAmerica Insurance Company	301568	Agent - Health	7/13/2004	3/9/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	11/16/1993	12/1/1998
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Health	4/22/2002	7/26/2005
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Life	4/22/2002	7/26/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank of the Mountains	747565	Agent - Limited Line Credit	2/4/2011	7/31/2013
Inactive	Stacy Insurance Inc.	398813	Agent - Credit Life & Health	8/3/1994	8/7/2000
Inactive	Stacy Insurance Inc.	398813	Agent - Limited Line Credit	8/7/2000	8/6/2007
Denied	Stacy Insurance Inc.	398813	Agent - Life
Denied	Stacy Insurance Inc.	398813	Agent - Health