DEPARTMENT OF INSURANCE

Affiliations

Name	Meyers, Stacy Michelle	DOIID	506439	NAIC NPN	3974508

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/23/2000	7/1/2002
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	7/1/2002
Inactive	Resident	Agent	Life	6/23/2000	7/1/2002
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/4/2000	7/1/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/4/2000	7/1/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Variable Life and Variable Annuities	3/31/2001	7/1/2002
Inactive	Augustar Life Insurance Company	301816	Agent - Health	7/10/2000	7/1/2002
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/10/2000	7/1/2002
Inactive	Augustar Life Insurance Company	301816	Agent - Variable Life and Variable Annuities	4/19/2001	7/1/2002
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Health	4/18/2002	7/1/2002
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	4/18/2002	7/1/2002
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	4/18/2002	7/1/2002
Inactive	Delaware Life Insurance Company	301256	Agent - Life	8/14/2000	7/1/2002
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	7/10/2000	7/1/2002
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	4/11/2001	7/1/2002
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Health	7/10/2000	7/1/2002
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	7/10/2000	7/1/2002
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Variable Life and Variable Annuities	5/10/2001	7/1/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Life	5/10/2001	7/1/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	5/10/2001	7/1/2002
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	8/21/2000	7/1/2002
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	5/14/2001	7/1/2002
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	7/11/2000	7/1/2002
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	7/11/2000	7/1/2002
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Variable Life and Variable Annuities	4/13/2001	7/1/2002
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	4/19/2001	7/1/2002
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Variable Life and Variable Annuities	4/19/2001	7/1/2002
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/22/2002	7/1/2002
Inactive	Keyport Life Insurance Company	300319	Agent - Life	7/20/2000	7/1/2002
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	7/28/2000	1/22/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/3/2001	7/1/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/3/2001	7/1/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/3/2001	7/1/2002
Inactive	Pacific Life Insurance Company	301848	Agent - Life	7/11/2000	7/1/2002
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	4/13/2001	7/1/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/5/2001	7/1/2002
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/5/2001	7/1/2002
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	11/13/2001	7/1/2002
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	11/13/2001	7/1/2002
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	6/23/2000	7/1/2002
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	6/23/2000	7/1/2002
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	2/16/2001	7/1/2002
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	6/23/2000	7/1/2002
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	6/23/2000	7/1/2002
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	2/16/2001	7/1/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	7/10/2000	7/1/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	7/10/2000	7/1/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	5/10/2001	7/1/2002
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	8/28/2000	7/1/2002
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	8/28/2000	7/1/2002
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Variable Life and Variable Annuities	4/23/2001	7/1/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/12/2002	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Life	6/3/2002	7/1/2002
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Health	6/3/2002	7/1/2002
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Variable Life and Variable Annuities	6/3/2002	7/1/2002