DEPARTMENT OF INSURANCE

Affiliations

Name	Stacey, Carolyn Frazier	DOIID	363409	NAIC NPN	7197359

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	7/9/1986	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	12/1/2003
Inactive	Resident	Agent	Health	3/16/1993	12/1/2003
Inactive	Resident	Agent	Life	3/16/1993	12/1/2003
Inactive	Resident	Agent	Casualty	8/15/2000	12/1/2003
Inactive	Resident	Agent	Health Maintenance Organization	3/31/1993	3/1/2001
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/31/1993	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/31/1993	12/1/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/31/1993	12/1/2003
Inactive	Catlin Insurance Company, Inc.	300979	Agent - General Lines	8/31/1990	3/31/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/15/2000	12/1/2003
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	3/13/2000	8/15/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	8/15/2000	12/1/2003
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000	12/1/2003
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	3/13/2000	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/15/2000	12/1/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	3/13/2000	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	3/13/2000	9/30/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000	12/1/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	3/13/2000	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000	12/1/2003
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/16/1994	8/15/2000
Inactive	Inter-State Assurance Company	301556	Agent - Life	9/27/1999	5/5/2002
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/30/2003	12/1/2003
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	9/30/2003	12/1/2003
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	8/25/2003
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	8/7/1990	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	8/25/2003
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/5/1997	5/12/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/18/1993	11/4/1996
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/18/1993	11/4/1996
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	11/3/1999	6/18/2001
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	11/3/1999	6/18/2001
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	8/31/1990	3/31/2000
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	8/31/1990	3/31/2000
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Western Surety Company	300283	Agent - General Lines	7/9/1986	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/24/1999	12/1/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	12/1/2003
Inactive	Howard & Stacey Inc. Dba Creech Insurance Agency	399542	Agent - General Lines	3/31/1995	8/15/2000
Inactive	Howard & Stacey Inc. Dba Creech Insurance Agency	399542	Agent - Property	8/15/2000	12/1/2003
Inactive	Howard & Stacey Inc. Dba Creech Insurance Agency	399542	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Insurance One Inc.	399840	Agent - Life	3/16/1993	12/1/2003
Inactive	Insurance One Inc.	399840	Agent - Health	3/16/1993	12/1/2003