DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Robert Joe	DOIID	378857	NAIC NPN	7204073

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/19/1989	6/22/2001
Inactive	Resident	Agent	Life	9/19/1989	6/22/2001
* 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	Bankers Life and Casualty Company	300701	Agent - Health	7/2/1998	1/26/1999
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	7/2/1998	1/26/1999
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	7/28/1992	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	7/28/1992	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/19/1989	6/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/19/1989	6/12/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/7/1994	3/4/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/7/1994	3/4/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/24/1999	6/22/2001
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/24/1999	6/22/2001
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	3/25/1993	6/12/1998
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	3/25/1993	6/12/1998
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/14/1995	12/5/1996
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	9/14/1995	12/5/1996
Inactive	Liberty Life Insurance Company	301542	Agent - Health	5/28/1997	3/27/1998
Inactive	Liberty Life Insurance Company	301542	Agent - Life	5/28/1997	3/27/1998
Inactive	Trustmark Insurance Company	300317	Agent - Health	3/19/1993	7/3/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	3/19/1993	7/3/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professional Retirement Planning Inc.	400960	Agent - Life	9/6/1994	6/12/1998
Inactive	Professional Retirement Planning Inc.	400960	Agent - Health	9/6/1994	6/12/1998