DEPARTMENT OF INSURANCE

Affiliations

Name	Mudd, Stacey Lynn	DOIID	520256	NAIC NPN	7216108

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/26/2001	1/1/2020
Inactive	Resident	Agent	Life	1/26/2001	1/1/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/21/2017	1/1/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/21/2017	1/1/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/21/2017	1/1/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/26/2001	1/10/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/26/2001	1/10/2020
Inactive	American United Life Insurance Company	300498	Agent - Health	11/25/2010	5/17/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	11/25/2010	5/17/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/14/2001	1/1/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/14/2001	1/1/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/16/2016	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/11/2012	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/11/2012	7/2/2013
Inactive	Continental Casualty Company	301019	Agent - Health	5/7/2003	8/10/2005
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/21/2017	1/1/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/9/2018	1/1/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/15/2005	1/1/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/15/2005	1/1/2020
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	5/7/2003	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	5/7/2003	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/5/2003	11/23/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/5/2003	11/23/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/30/2017	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/30/2017	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/26/2001	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	7/26/2001	1/1/2020
Inactive	Humana Insurance Company	301104	Agent - Life	7/26/2001	1/1/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/17/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/17/2017	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/30/2017	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/30/2017	6/15/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/6/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/6/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/28/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/25/2015	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	9/26/2013	10/29/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/20/2004	11/4/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/20/2004	11/4/2009
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/5/2004	12/8/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/5/2004	12/8/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Health	8/1/2002	1/1/2020
Inactive	Prudential Insurance Company of America	300784	Agent - Life	8/1/2002	1/1/2020
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	6/20/2011	1/1/2020
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	6/20/2011	1/1/2020
Inactive	Union Security Insurance Company	301844	Agent - Health	1/20/2015	1/1/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	1/20/2015	1/1/2020
Inactive	United Heartland Life Insurance Company	517547	Agent - Health	11/15/2001	7/10/2006
Inactive	United Heartland Life Insurance Company	517547	Agent - Life	11/15/2001	7/10/2006
Inactive	United Wisconsin Insurance Company	301103	Agent - Health	11/15/2001	7/10/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/5/2004	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/5/2004	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/5/2004	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/5/2004	12/14/2009
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	4/22/2005	12/3/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	4/22/2005	12/3/2010
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/7/2003	8/10/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/7/2003	8/10/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefits Group of Lexington LLC	526025	Agent - Health	5/4/2001	1/1/2020
Inactive	Benefits Group of Lexington LLC	526025	Agent - Life	5/4/2001	1/1/2020
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/26/2003	1/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	1/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	1/1/2020
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	1/1/2020