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DEPARTMENT OF INSURANCE
Affiliations
Name
Stacy, Dustin
DOIID
524893
NAIC NPN
7217349
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Variable Life and Variable Annuities
1/8/2013
8/31/2026
Active
Resident
Agent
Health
5/10/2001
8/31/2026
Active
Resident
Agent
Life
5/10/2001
8/31/2026
Active
Resident
Life & Health Consultant
Not Applicable
5/3/2013
8/31/2026
* 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
Active
All Savers Insurance Company
301940
Agent - Health
9/19/2024
Active
All Savers Insurance Company
301940
Agent - Life
9/19/2024
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
4/10/2003
8/16/2010
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
4/10/2003
8/16/2010
Active
American Fidelity Assurance Company
301004
Agent - Health
9/13/2023
Active
American Fidelity Assurance Company
301004
Agent - Life
9/13/2023
Active
American Heritage Life Insurance Company
300272
Agent - Health
9/19/2011
Active
American Heritage Life Insurance Company
300272
Agent - Life
9/19/2011
Active
American United Life Insurance Company
300498
Agent - Health
1/1/2025
Active
American United Life Insurance Company
300498
Agent - Life
1/1/2025
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
1/31/2025
Inactive
Anthem Life Insurance Company
301209
Agent - Health
6/3/2003
6/3/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Life
6/3/2003
6/3/2010
Active
Banner Life Insurance Company
301696
Agent - Life
9/27/2019
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
9/8/2010
9/24/2018
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
9/8/2010
9/24/2018
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
1/6/2011
6/5/2018
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
1/6/2011
6/5/2018
Inactive
C.M. Life Insurance Company
301335
Agent - Health
3/1/2004
11/12/2012
Inactive
C.M. Life Insurance Company
301335
Agent - Life
3/1/2004
11/12/2012
Inactive
CHA HMO, Inc.
300662
Agent - Health
12/13/2001
11/29/2004
Active
CIGNA Dental Health of Kentucky, Inc.
300904
Agent - Health
5/8/2018
Active
CIGNA Health & Life Insurance Company
301783
Agent - Health
5/8/2018
Active
CIGNA Health & Life Insurance Company
301783
Agent - Life
5/8/2018
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
5/8/2009
6/15/2018
Inactive
CompBenefits Insurance Company
301864
Agent - Health
10/29/2019
12/15/2020
Inactive
CompBenefits Insurance Company
301864
Agent - Life
5/8/2009
7/2/2013
Inactive
Continental General Insurance Company
300691
Agent - Health
8/9/2018
1/25/2019
Inactive
Continental General Insurance Company
300691
Agent - Life
8/9/2018
1/25/2019
Active
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
Active
Fidelity Security Life Insurance Company
300466
Agent - Health
2/8/2013
Active
Fidelity Security Life Insurance Company
300466
Agent - Life
2/8/2013
Inactive
First Colony Life Insurance Company
301179
Agent - Health
6/6/2001
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
6/6/2001
1/1/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
4/14/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
4/14/2009
Active
Guardian Life Insurance Company of America
301316
Agent - Health
9/8/2010
Active
Guardian Life Insurance Company of America
301316
Agent - Life
9/8/2010
Active
Hartford Life and Accident Insurance Company
300878
Agent - Health
9/27/2013
Active
Hartford Life and Accident Insurance Company
300878
Agent - Life
9/27/2013
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
2/17/2020
12/15/2020
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
2/17/2020
12/15/2020
Active
Humana Health Plan, Inc.
300142
Agent - Health
3/29/2007
Inactive
Humana Insurance Company
301104
Agent - Health
3/29/2007
12/12/2024
Inactive
Humana Insurance Company
301104
Agent - Life
3/29/2007
12/12/2024
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
8/1/2024
12/12/2024
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
8/1/2024
12/12/2024
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
2/17/2020
12/15/2020
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
2/17/2020
12/15/2020
Inactive
HumanaDental Insurance Company
301457
Agent - Health
5/8/2009
5/13/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Life
5/8/2009
5/13/2013
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/28/2010
8/9/2018
Inactive
Kanawha Insurance Company
300127
Agent - Life
1/28/2010
8/9/2018
Active
Life Insurance Company of North America
300711
Agent - Health
6/2/2010
Active
Life Insurance Company of North America
300711
Agent - Life
6/2/2010
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
1/23/2009
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
1/23/2009
Active
ManhattanLife Insurance and Annuity Company
301795
Agent - Health
3/7/2019
Active
ManhattanLife Insurance and Annuity Company
301795
Agent - Life
7/1/2020
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
3/1/2004
11/12/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
3/1/2004
11/12/2012
Active
Metropolitan Life Insurance Company
301948
Agent - Health
8/29/2022
Active
Metropolitan Life Insurance Company
301948
Agent - Life
8/29/2022
Inactive
Midland National Life Insurance Company
300923
Agent - Health
7/30/2003
6/24/2008
Inactive
Midland National Life Insurance Company
300923
Agent - Life
7/30/2003
6/24/2008
Active
Minnesota Life Insurance Company
300488
Agent - Health
1/4/2024
Active
Minnesota Life Insurance Company
300488
Agent - Life
1/4/2024
Active
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
1/4/2024
Active
National Guardian Life Insurance Company
300596
Agent - Health
8/15/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
1/2/2013
12/10/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
1/2/2013
12/10/2018
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/4/2001
12/9/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/4/2001
12/9/2008
Active
Provident Life and Accident Insurance Company
301525
Agent - Health
10/23/2024
Active
Provident Life and Accident Insurance Company
301525
Agent - Life
10/23/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Life
9/3/2019
12/21/2022
Active
Prudential Insurance Company of America
300784
Agent - Health
2/25/2003
Active
Prudential Insurance Company of America
300784
Agent - Life
2/25/2003
Active
Securian Life Insurance Company
300757
Agent - Health
1/4/2024
Active
Securian Life Insurance Company
300757
Agent - Life
1/4/2024
Active
Securian Life Insurance Company
300757
Agent - Variable Life and Variable Annuities
1/4/2024
Inactive
Standard Insurance Company
300185
Agent - Health
3/24/2004
4/29/2009
Inactive
Standard Insurance Company
300185
Agent - Life
3/24/2004
4/29/2009
Active
Starmount Life Insurance Company
628031
Agent - Health
10/23/2024
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
10/22/2010
12/25/2023
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
10/22/2010
12/25/2023
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Health
10/22/2010
8/22/2011
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Life
10/22/2010
8/22/2011
Active
Swiss Re Corporate Solutions America Insurance Corporation
300338
Agent - Health
1/15/2025
Active
Symetra Life Insurance Company
301691
Agent - Health
9/17/2020
Active
Symetra Life Insurance Company
301691
Agent - Life
9/17/2020
Active
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
9/17/2020
Inactive
Time Insurance Company
300683
Agent - Health
5/10/2001
8/4/2010
Inactive
Time Insurance Company
300683
Agent - Life
5/10/2001
8/4/2010
Active
Transamerica Life Insurance Company
300571
Agent - Health
8/5/2015
Active
Transamerica Life Insurance Company
300571
Agent - Life
8/5/2015
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
8/5/2015
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
4/24/2015
10/1/2020
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
4/24/2015
10/1/2020
Active
UNUM Life Insurance Company of America
300817
Agent - Health
10/23/2024
Active
UNUM Life Insurance Company of America
300817
Agent - Life
10/23/2024
Active
Unimerica Insurance Company
563724
Agent - Health
6/29/2015
Active
Unimerica Insurance Company
563724
Agent - Life
6/29/2015
Active
UnitedHealthcare Insurance Company
300946
Agent - Health
6/29/2015
Active
UnitedHealthcare Insurance Company
300946
Agent - Life
6/29/2015
Active
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
6/29/2015
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
4/14/2022
12/17/2024
Active
Unum Insurance Company
301499
Agent - Health
10/23/2024
Active
Unum Insurance Company
301499
Agent - Life
10/23/2024
Active
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
6/28/2016
Active
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
6/28/2016
Active
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
6/28/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
5/30/2003
6/23/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
5/30/2003
6/23/2008
Active
Benefit Ins Marketing Inc
398449
Agent - Life
4/14/2010
Active
Benefit Ins Marketing Inc
398449
Agent - Health
4/14/2010
Active
Benefit Ins Marketing Inc
398449
Life & Health Consultant - Not Applicable
2/24/2017
Active
Dental Choice Agency Inc.
398085
Agent - Health
8/29/2019
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/11/2013
2/17/2025
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/11/2013
2/17/2025
Inactive
Encompass Benefits & Management Services, LLC
567945
Agent - Life
5/7/2003
1/31/2013
Inactive
Encompass Benefits & Management Services, LLC
567945
Agent - Health
5/7/2003
1/31/2013
Active
LPL FINANCIAL LLC
399327
Agent - Life
5/17/2024
Active
LPL FINANCIAL LLC
399327
Agent - Health
5/17/2024
Active
LPL FINANCIAL LLC
399327
Agent - Variable Life and Variable Annuities
5/17/2024
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