DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Stacy N	DOIID	502507	NAIC NPN	7211148

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/15/2000	11/26/2001
Inactive	Resident	Agent	Casualty	8/15/2000	11/26/2001
Inactive	Resident	Agent	General Lines	2/17/2000	8/15/2000
* 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	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	11/26/2001
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	4/17/2000	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	11/26/2001
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	6/2/2001
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	2/17/2000	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	6/2/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nolan Ins Corp.	398451	Agent - General Lines	2/29/2000	8/1/2000