DEPARTMENT OF INSURANCE
Affiliations
NameStacy, Carol JeanDOIID355183NAIC NPN2182115
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization2/18/19971/4/1999 
InactiveResidentAgentLife2/19/19924/1/2024 
InactiveResidentAgentGeneral Lines6/9/19928/15/2000 
InactiveResidentAgentProperty8/15/20004/1/2024 
InactiveResidentAgentCasualty8/15/20004/1/2024 
InactiveResidentAgentHealth2/19/19924/1/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health1/20/202311/17/2023
InactiveAccendo Insurance Company300312Agent - Life6/10/20204/1/2024
InactiveAetna Health and Life Insurance Company300523Agent - Health6/19/20194/1/2024
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/2/20029/2/2011
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/2/20029/2/2011
InactiveAmTrust Insurance Company300179Agent - General Lines9/22/19998/15/2000
InactiveAmerican Continental Insurance Company643130Agent - Life6/19/20198/11/2021
InactiveAmerican Family Home Insurance Company301817Agent - General Lines7/1/19933/31/1996
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/1/201311/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Health5/29/20206/13/2022
InactiveAmerican General Life Insurance Company301585Agent - Life5/29/20206/13/2022
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Casualty8/15/20005/31/2003
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - General Lines5/21/19998/15/2000
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Property8/15/20005/31/2003
InactiveAmerican Modern Home Insurance Company300791Agent - General Lines4/13/19953/31/1996
InactiveAmerican Motorists Insurance Company301212Agent - Casualty8/15/20005/31/2003
InactiveAmerican Motorists Insurance Company301212Agent - General Lines5/21/19998/15/2000
InactiveAmerican Motorists Insurance Company301212Agent - Property8/15/20005/31/2003
InactiveAmerican Pioneer Life Insurance Company301782Agent - Health6/24/20029/13/2012
InactiveAmerican Pioneer Life Insurance Company301782Agent - Life6/24/20029/13/2012
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health4/28/20047/1/2005
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life6/1/20206/7/2022
InactiveAnthem Life Insurance Company301209Agent - Health3/4/199612/30/2009
InactiveAnthem Life Insurance Company301209Agent - Life3/4/199612/30/2009
InactiveAssurance Company of America300432Agent - Casualty8/23/20021/29/2003
InactiveAssurance Company of America300432Agent - General Lines4/25/19943/31/1996
InactiveAssurance Company of America300432Agent - Property8/23/20021/29/2003
InactiveAthene Annuity and Life Company301893Agent - Health10/1/200811/26/2008
InactiveAthene Annuity and Life Company301893Agent - Life10/1/200811/26/2008
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/15/20005/23/2006
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines9/15/19978/15/2000
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/15/20005/23/2006
InactiveAviva Life Insurance Company301615Agent - Health1/4/200110/1/2008
InactiveAviva Life Insurance Company301615Agent - Life1/4/200110/1/2008
InactiveBlackboard Insurance Company301640Agent - Casualty8/23/20021/29/2003
InactiveBlackboard Insurance Company301640Agent - General Lines4/25/19943/31/1996
InactiveBlackboard Insurance Company301640Agent - Property8/23/20021/29/2003
InactiveCHA HMO, Inc.300662Agent - Health Maintenance Organization2/18/19971/4/1999
InactiveCSI Life Insurance Company596032Agent - Health11/23/201612/18/2019
InactiveCentennial Life Insurance Company (The)301561Agent - Health12/28/19953/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life12/28/19953/31/1997
InactiveCentral States Indemnity Company of Omaha300285Agent - Health3/17/201412/21/2015
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/20005/23/2006
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines9/15/19978/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/20005/23/2006
InactiveCombined Insurance Company of America301472Agent - Health7/2/20124/13/2020
InactiveCombined Insurance Company of America301472Agent - Life7/2/20123/18/2021
InactiveConseco Health Insurance Company301725Agent - Health1/3/20058/7/2006
InactiveConseco Health Insurance Company301725Agent - Life1/3/20058/7/2006
InactiveConseco Insurance Company301202Agent - Health1/3/200510/1/2010
InactiveConseco Insurance Company301202Agent - Life1/3/200510/1/2010
InactiveContinental General Insurance Company300691Agent - Health6/12/20008/15/2003
InactiveContinental General Insurance Company300691Agent - Life6/12/20008/15/2003
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/10/20194/1/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life1/20/20234/1/2024
InactiveCountryway Insurance Company300809Agent - Casualty8/15/20004/1/2024
InactiveCountryway Insurance Company300809Agent - General Lines7/12/19998/15/2000
InactiveCountryway Insurance Company300809Agent - Property8/15/20004/1/2024
InactiveDelaware Life Insurance Company301256Agent - Life12/13/200610/23/2008
InactiveEverly Life Insurance Company561641Agent - Life4/27/201811/14/2018
InactiveFarmers Casualty Insurance Company301616Agent - General Lines6/9/19923/31/1998
InactiveFarmers Property and Casualty Insurance Company301237Agent - General Lines6/9/199210/3/1996
InactiveFarmington Casualty Company301137Agent - Casualty5/9/20065/23/2006
InactiveFarmington Casualty Company301137Agent - Property5/9/20065/23/2006
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life7/25/20002/24/2004
InactiveFirst National Life Insurance Company300833Agent - Health3/23/19932/14/1997
InactiveFirst National Life Insurance Company300833Agent - Life3/23/19932/14/1997
InactiveForethought Life Insurance Company301407Agent - Health3/25/201111/5/2014
InactiveForethought Life Insurance Company301407Agent - Life4/2/20084/1/2024
InactiveFreedom Life Insurance Company of America300074Agent - Health5/5/19943/31/1997
InactiveFreedom Life Insurance Company of America300074Agent - Life5/5/19943/31/1997
InactiveGerber Life Insurance Company300529Agent - Health9/30/200912/17/2012
InactiveGerber Life Insurance Company300529Agent - Life9/30/200912/17/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health12/2/201010/22/2013
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life12/2/201010/22/2013
InactiveGrange Indemnity Insurance Company300793Agent - Casualty10/13/20114/1/2024
InactiveGrange Indemnity Insurance Company300793Agent - Property10/13/20114/1/2024
InactiveGrange Insurance Company300234Agent - Casualty10/13/20114/1/2024
InactiveGrange Insurance Company300234Agent - Property10/13/20114/1/2024
InactiveGrange Life Insurance Company300128Agent - Health10/13/20113/31/2021
InactiveGrange Life Insurance Company300128Agent - Life10/13/201112/28/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty10/13/20114/1/2024
InactiveGrange Property & Casualty Insurance Company601680Agent - Property10/13/20114/1/2024
InactiveGreat Southern Life Insurance Company301443Agent - Health6/1/20206/7/2022
InactiveGuarantee Trust Life Insurance Company301043Agent - Life1/4/20081/15/2015
InactiveHartford Fire Insurance Company300628Agent - Casualty8/15/20004/1/2024
InactiveHartford Fire Insurance Company300628Agent - General Lines4/29/19978/15/2000
InactiveHartford Fire Insurance Company300628Agent - Property8/15/20004/1/2024
InactiveInfinity Standard Insurance Company301643Agent - General Lines4/26/199312/27/1999
InactiveIntegrity Life Insurance Company301687Agent - Life5/9/200612/8/2008
InactiveInvestors Heritage Life Insurance Company300363Agent - Health2/19/19922/28/2000
InactiveInvestors Heritage Life Insurance Company300363Agent - Life2/19/19922/28/2000
InactiveInvestors Life Insurance Company of Indiana301657Agent - Health6/30/199212/28/1998
InactiveInvestors Life Insurance Company of Indiana301657Agent - Life6/30/199212/28/1998
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/19/20037/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/19/20037/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health9/19/20034/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life9/19/20034/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health12/4/200011/7/2002
InactiveJohn Alden Life Insurance Company300573Agent - Life12/4/200011/7/2002
InactiveJohn Hancock Life Insurance Company300821Agent - Health9/3/20026/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life9/3/20026/7/2008
InactiveKentucky National Insurance Company301625Agent - Casualty8/15/20004/1/2024
InactiveKentucky National Insurance Company301625Agent - General Lines4/6/19988/15/2000
InactiveKentucky National Insurance Company301625Agent - Property8/15/20004/1/2024
InactiveLife Insurance Company of Alabama301439Agent - Health11/14/20027/10/2014
InactiveLife Insurance Company of Alabama301439Agent - Life11/14/20027/10/2014
InactiveLifeUSA Insurance Company300386Agent - Health12/13/19998/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life12/13/19998/2/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/22/200712/18/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/22/200712/18/2009
InactiveLoyal American Life Insurance Company301172Agent - Health7/29/200411/21/2007
InactiveLoyal American Life Insurance Company301172Agent - Life7/29/200411/21/2007
InactiveLumbermens Mutual Casualty Company301119Agent - Casualty8/15/20005/31/2003
InactiveLumbermens Mutual Casualty Company301119Agent - General Lines5/21/19998/15/2000
InactiveLumbermens Mutual Casualty Company301119Agent - Property8/15/20005/31/2003
InactiveLumico Life Insurance Company300354Agent - Health9/25/20204/1/2024
InactiveMaryland Casualty Company301719Agent - Casualty8/23/20021/29/2003
InactiveMaryland Casualty Company301719Agent - General Lines4/25/19943/31/1996
InactiveMaryland Casualty Company301719Agent - Property8/23/20021/29/2003
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health6/16/19926/25/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/16/19926/25/2018
InactiveMedAmerica Insurance Company301568Agent - Health12/19/20033/9/2009
InactiveMedico Insurance Company301559Agent - Health4/1/201312/19/2014
InactiveMedico Insurance Company301559Agent - Life4/1/201312/19/2014
InactiveMetropolitan General Insurance Company300709Agent - General Lines6/9/199210/3/1996
InactiveMutual of Omaha Insurance Company301012Agent - Health5/7/20126/24/2013
InactiveNassau Life Insurance Company of Texas300872Agent - Health3/8/20119/13/2012
InactiveNassau Life Insurance Company of Texas300872Agent - Life3/8/20119/13/2012
InactiveNational Western Life Insurance Company301515Agent - Health4/23/19981/27/2005
InactiveNational Western Life Insurance Company301515Agent - Life4/23/19981/27/2005
InactiveNorthern Insurance Company of New York301317Agent - Casualty8/23/20021/29/2003
InactiveNorthern Insurance Company of New York301317Agent - General Lines4/25/19943/31/1996
InactiveNorthern Insurance Company of New York301317Agent - Property8/23/20021/29/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life4/17/19984/12/2002
InactiveOmaha Insurance Company751908Agent - Health7/7/20141/24/2016
InactiveOrder of United Commercial Travelers of America301723Agent - Health3/15/20024/13/2007
InactiveOrder of United Commercial Travelers of America301723Agent - Life12/8/19944/13/2007
InactivePacifiCare Life and Health Insurance Company301304Agent - Health7/15/20037/17/2012
InactivePacifiCare Life and Health Insurance Company301304Agent - Life7/15/20037/17/2012
InactivePenn Mutual Life Insurance Company301394Agent - Health6/25/19936/9/1997
InactivePenn Mutual Life Insurance Company301394Agent - Life6/25/19936/9/1997
InactivePeoples Benefit Life Insurance Company301895Agent - Health2/9/19995/27/2005
InactivePeoples Benefit Life Insurance Company301895Agent - Life2/9/19995/27/2005
InactivePioneer Life Insurance Company300110Agent - Health10/5/19938/18/2003
InactivePioneer Life Insurance Company300110Agent - Life10/5/19938/18/2003
InactivePuritan Life Insurance Company of America301892Agent - Health4/7/200812/4/2008
InactivePuritan Life Insurance Company of America301892Agent - Life4/7/200812/4/2008
InactiveRealm National Insurance Company301315Agent - General Lines4/29/19983/31/2000
InactiveReassure America Life Insurance Company301902Agent - Health1/23/19971/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life1/23/19971/2/2003
InactiveRedland Insurance Company300687Agent - General Lines10/9/19973/31/1998
InactiveSecurity National Insurance Company301151Agent - Casualty8/15/200011/27/2000
InactiveSecurity National Insurance Company301151Agent - General Lines9/22/19998/15/2000
InactiveSecurity National Insurance Company301151Agent - Property8/15/200011/27/2000
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health3/25/19927/18/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life3/25/19927/18/2003
InactiveSentry Select Insurance Company301648Agent - Casualty2/9/20064/17/2015
InactiveSentry Select Insurance Company301648Agent - Property2/9/20064/17/2015
InactiveShenandoah Life Insurance Company300130Agent - Health1/5/20073/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life1/5/20073/16/2008
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty8/15/20005/23/2006
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines9/15/19978/15/2000
InactiveStandard Fire Insurance Company (The)301068Agent - Property8/15/20005/23/2006
InactiveStandard Life and Accident Insurance Company301534Agent - Health12/14/20002/21/2006
InactiveStandard Life and Accident Insurance Company301534Agent - Life12/14/20002/21/2006
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines6/30/19926/16/1997
InactiveState Mutual Insurance Company300359Agent - Health4/21/19983/28/2002
InactiveState Mutual Insurance Company300359Agent - Life4/21/19983/28/2002
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/20005/23/2006
InactiveThe Phoenix Insurance Company301502Agent - General Lines9/15/19978/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/20005/23/2006
InactiveTime Insurance Company300683Agent - Health4/14/199710/17/2011
InactiveTime Insurance Company300683Agent - Life4/14/199710/17/2011
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20204/1/2024
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20204/1/2024
InactiveTransamerica Premier Life Insurance Company300558Agent - Health6/20/202010/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life6/20/202010/1/2020
InactiveTravCo Insurance Company301828Agent - Casualty8/15/20005/23/2006
InactiveTravCo Insurance Company301828Agent - General Lines9/15/19978/15/2000
InactiveTravCo Insurance Company301828Agent - Property8/15/20005/23/2006
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/20025/23/2006
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/20025/23/2006
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/20065/23/2006
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/20065/23/2006
InactiveTravelers Casualty and Surety Company301067Agent - Casualty8/15/20005/23/2006
InactiveTravelers Casualty and Surety Company301067Agent - General Lines9/15/19978/15/2000
InactiveTravelers Casualty and Surety Company301067Agent - Property8/15/20005/23/2006
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/20065/23/2006
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/20065/23/2006
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/18/20055/23/2006
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/18/20055/23/2006
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/20005/23/2006
InactiveTravelers Indemnity Company (The)301855Agent - General Lines9/15/19978/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/20005/23/2006
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/20025/23/2006
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/20025/23/2006
InactiveTrinity Universal Insurance Company300911Agent - General Lines9/22/19998/15/2000
InactiveTrustgard Insurance Company300104Agent - Casualty10/13/20114/1/2024
InactiveTrustgard Insurance Company300104Agent - Property10/13/20114/1/2024
InactiveUnion Security Insurance Company301844Agent - Health8/21/19964/2/1998
InactiveUnion Security Insurance Company301844Agent - Life8/21/19964/2/1998
InactiveUnited American Insurance Company300910Agent - Health7/18/20194/1/2024
InactiveUnited American Insurance Company300910Agent - Life7/18/20194/1/2024
InactiveUnited Home Life Insurance Company300421Agent - Life5/24/200412/23/2009
InactiveUnited Teacher Associates Insurance Company300747Agent - Health7/29/200411/29/2007
InactiveUnited Teacher Associates Insurance Company300747Agent - Life7/29/200411/29/2007
InactiveUnited World Life Insurance Company300532Agent - Health12/17/20188/24/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/29/20146/22/2016
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/29/20146/22/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/31/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/31/19953/31/1997
InactiveWashington National Insurance Company300587Agent - Health10/1/20103/17/2011
InactiveWashington National Insurance Company300587Agent - Life10/1/20103/17/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life9/23/19986/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health9/23/19986/23/2008
InactiveDesignated Agent Company Inc.681257Agent - Life6/30/200812/30/2009
InactiveDesignated Agent Company Inc.681257Agent - Health6/30/200812/30/2009
InactiveMcConnell Insurance Agency Inc.400140Agent - Life2/12/19964/1/2024
InactiveMcConnell Insurance Agency Inc.400140Agent - Health2/12/19964/1/2024
InactiveMedlink Inc400721Agent - Life11/14/20084/1/2024
InactiveMedlink Inc400721Agent - Health11/14/20084/1/2024
InactiveRaymond Nelson Insurance Agency Inc.398578Agent - Life6/1/19984/1/2024
InactiveRaymond Nelson Insurance Agency Inc.398578Agent - Health6/1/19984/1/2024
InactiveRaymond Nelson Insurance Agency Inc.398578Agent - General Lines6/1/19988/15/2000
InactiveRaymond Nelson Insurance Agency Inc.398578Agent - Property8/15/20004/1/2024
InactiveRaymond Nelson Insurance Agency Inc.398578Agent - Casualty8/15/20004/1/2024
InactiveRisk and Technology Advisors Inc.580500Agent - Life12/15/20034/1/2024
InactiveRisk and Technology Advisors Inc.580500Agent - Health12/15/20034/1/2024
InactiveWest Kentucky Group Benefits401049Agent - Life12/28/19982/24/2003
InactiveWest Kentucky Group Benefits401049Agent - Health12/28/19982/24/2003

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