DEPARTMENT OF INSURANCE
Affiliations
NameStacy, Dustin DOIID524893NAIC NPN7217349
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities1/8/2013 8/31/2026
ActiveResidentAgentLife5/10/2001 8/31/2026
ActiveResidentAgentHealth5/10/2001 8/31/2026
ActiveResidentLife & Health ConsultantNot Applicable5/3/2013 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAll Savers Insurance Company301940Agent - Health9/19/2024 
ActiveAll Savers Insurance Company301940Agent - Life9/19/2024 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/10/20038/16/2010
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/10/20038/16/2010
ActiveAmerican Fidelity Assurance Company301004Agent - Health9/13/2023 
ActiveAmerican Fidelity Assurance Company301004Agent - Life9/13/2023 
ActiveAmerican Heritage Life Insurance Company300272Agent - Health9/19/2011 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life9/19/2011 
InactiveAmerican United Life Insurance Company300498Agent - Health1/14/20169/29/2023
InactiveAmerican United Life Insurance Company300498Agent - Life1/14/20169/29/2023
InactiveAnthem Life Insurance Company301209Agent - Health6/3/20036/3/2010
InactiveAnthem Life Insurance Company301209Agent - Life6/3/20036/3/2010
ActiveBanner Life Insurance Company301696Agent - Life9/27/2019 
InactiveBerkshire Life Insurance Company of America300983Agent - Health9/8/20109/24/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Life9/8/20109/24/2018
InactiveBoston Mutual Life Insurance Company300143Agent - Health1/6/20116/5/2018
InactiveBoston Mutual Life Insurance Company300143Agent - Life1/6/20116/5/2018
InactiveC.M. Life Insurance Company301335Agent - Health3/1/200411/12/2012
InactiveC.M. Life Insurance Company301335Agent - Life3/1/200411/12/2012
InactiveCHA HMO, Inc.300662Agent - Health12/13/200111/29/2004
ActiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health5/8/2018 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health5/8/2018 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life5/8/2018 
InactiveCompBenefits Dental, Inc.591692Agent - Health5/8/20096/15/2018
InactiveCompBenefits Insurance Company301864Agent - Health10/29/201912/15/2020
InactiveCompBenefits Insurance Company301864Agent - Life5/8/20097/2/2013
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
ActiveDental Concern Inc. (The)301641Agent - Health3/21/2009 
ActiveFidelity Security Life Insurance Company300466Agent - Health2/8/2013 
ActiveFidelity Security Life Insurance Company300466Agent - Life2/8/2013 
InactiveFirst Colony Life Insurance Company301179Agent - Health6/6/20011/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life6/6/20011/1/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/20074/14/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/20074/14/2009
ActiveGuardian Life Insurance Company of America301316Agent - Health9/8/2010 
ActiveGuardian Life Insurance Company of America301316Agent - Life9/8/2010 
ActiveHartford Life and Accident Insurance Company300878Agent - Health9/27/2013 
ActiveHartford Life and Accident Insurance Company300878Agent - Life9/27/2013 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/17/202012/15/2020
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health2/17/202012/15/2020
ActiveHumana Health Plan, Inc.300142Agent - Health3/29/2007 
ActiveHumana Insurance Company301104Agent - Health3/29/2007 
ActiveHumana Insurance Company301104Agent - Life3/29/2007 
ActiveHumana Insurance Company of Kentucky300826Agent - Health8/1/2024 
ActiveHumana Insurance Company of Kentucky300826Agent - Life8/1/2024 
InactiveHumana Medical Plan, Inc.801568Agent - Health2/17/202012/15/2020
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health2/17/202012/15/2020
InactiveHumanaDental Insurance Company301457Agent - Health5/8/20095/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life5/8/20095/13/2013
InactiveKanawha Insurance Company300127Agent - Health1/28/20108/9/2018
InactiveKanawha Insurance Company300127Agent - Life1/28/20108/9/2018
ActiveLife Insurance Company of North America300711Agent - Health6/2/2010 
ActiveLife Insurance Company of North America300711Agent - Life6/2/2010 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health1/23/2009 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life1/23/2009 
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health3/7/2019 
ActiveManhattanLife Insurance and Annuity Company301795Agent - Life7/1/2020 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health3/1/200411/12/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life3/1/200411/12/2012
ActiveMetropolitan Life Insurance Company301948Agent - Health8/29/2022 
ActiveMetropolitan Life Insurance Company301948Agent - Life8/29/2022 
InactiveMidland National Life Insurance Company300923Agent - Health7/30/20036/24/2008
InactiveMidland National Life Insurance Company300923Agent - Life7/30/20036/24/2008
ActiveMinnesota Life Insurance Company300488Agent - Health1/4/2024 
ActiveMinnesota Life Insurance Company300488Agent - Life1/4/2024 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities1/4/2024 
ActiveNational Guardian Life Insurance Company300596Agent - Health8/15/2014 
InactiveNationwide Life Insurance Company300495Agent - Health1/2/201312/10/2018
InactiveNationwide Life Insurance Company300495Agent - Life1/2/201312/10/2018
InactivePrincipal Life Insurance Company300129Agent - Health6/4/200112/9/2008
InactivePrincipal Life Insurance Company300129Agent - Life6/4/200112/9/2008
InactivePruco Life Insurance Company300954Agent - Life9/3/201912/21/2022
ActivePrudential Insurance Company of America300784Agent - Health2/25/2003 
ActivePrudential Insurance Company of America300784Agent - Life2/25/2003 
ActiveSecurian Life Insurance Company300757Agent - Health1/4/2024 
ActiveSecurian Life Insurance Company300757Agent - Life1/4/2024 
ActiveSecurian Life Insurance Company300757Agent - Variable Life and Variable Annuities1/4/2024 
InactiveStandard Insurance Company300185Agent - Health3/24/20044/29/2009
InactiveStandard Insurance Company300185Agent - Life3/24/20044/29/2009
InactiveSun Life Assurance Company of Canada301811Agent - Health10/22/201012/25/2023
InactiveSun Life Assurance Company of Canada301811Agent - Life10/22/201012/25/2023
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health10/22/20108/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life10/22/20108/22/2011
ActiveSymetra Life Insurance Company301691Agent - Health9/17/2020 
ActiveSymetra Life Insurance Company301691Agent - Life9/17/2020 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities9/17/2020 
InactiveTime Insurance Company300683Agent - Health5/10/20018/4/2010
InactiveTime Insurance Company300683Agent - Life5/10/20018/4/2010
ActiveTransamerica Life Insurance Company300571Agent - Health8/5/2015 
ActiveTransamerica Life Insurance Company300571Agent - Life8/5/2015 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities8/5/2015 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health4/24/201510/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life4/24/201510/1/2020
ActiveUnimerica Insurance Company563724Agent - Health6/29/2015 
ActiveUnimerica Insurance Company563724Agent - Life6/29/2015 
ActiveUnitedHealthcare Insurance Company300946Agent - Health6/29/2015 
ActiveUnitedHealthcare Insurance Company300946Agent - Life6/29/2015 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/29/2015 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/14/2022 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Health6/28/2016 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Life6/28/2016 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities6/28/2016 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life5/30/20036/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health5/30/20036/23/2008
ActiveBenefit Ins Marketing Inc398449Agent - Life4/14/2010 
ActiveBenefit Ins Marketing Inc398449Agent - Health4/14/2010 
ActiveBenefit Ins Marketing Inc398449Life & Health Consultant - Not Applicable2/24/2017 
ActiveDental Choice Agency Inc.398085Agent - Health8/29/2019 
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
InactiveEncompass Benefits & Management Services, LLC567945Agent - Life5/7/20031/31/2013
InactiveEncompass Benefits & Management Services, LLC567945Agent - Health5/7/20031/31/2013
ActiveLPL FINANCIAL LLC399327Agent - Life5/17/2024 
ActiveLPL FINANCIAL LLC399327Agent - Health5/17/2024 
ActiveLPL FINANCIAL LLC399327Agent - Variable Life and Variable Annuities5/17/2024 

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