DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Slade-Grabow, Stacey Lynn	DOIID	526072	NAIC NPN	7026901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/14/2004		9/30/2024
Active	Resident	Agent	Property	6/14/2004		9/30/2024
Active	Resident	Surplus Lines Broker	Not Applicable	12/23/2019		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	12/16/2019
Active	ACE American Insurance Company	300625	Agent - Property	12/16/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	9/11/2001	11/8/2001
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/14/2001	11/8/2001
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	9/11/2001	11/8/2001
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/14/2001	11/8/2001
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	9/11/2001	11/8/2001
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/14/2001	11/8/2001
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	9/11/2001	11/8/2001
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/14/2001	11/8/2001
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/11/2001	11/8/2001
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/14/2001	11/8/2001
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	9/11/2001	11/8/2001
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/14/2001	11/8/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Risk Services Northeast Inc	503768	Agent - Property	12/17/2019
Active	Aon Risk Services Northeast Inc	503768	Agent - Casualty	12/17/2019