DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bartz, Stacey A	DOIID	366832	NAIC NPN	346663

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	12/22/1995	7/1/2010
Active	Non Resident	Independent Adjuster	Property & Casualty	1/17/2023		6/30/2025
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	1/17/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	3/4/2023
Inactive	AMEX Assurance Company	301728	Adjuster - Independent	12/22/1995	7/1/2010
Inactive	AMEX Assurance Company	301728	Staff Adjuster - Property & Casualty	7/1/2010	1/18/2011
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Staff Adjuster - Property & Casualty	12/21/2010	10/20/2014