DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hutchens, Stacie Renee	DOIID	534014	NAIC NPN	4057863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/6/2001	6/28/2007
Inactive	Non Resident	Agent	Life	8/6/2001	6/28/2007
* 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	Everlake Life Insurance Company	300873	Agent - Health	8/6/2001	7/1/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	8/6/2001	7/1/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/26/2002	2/13/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	10/18/2001	6/10/2002
Inactive	TeleSpectrum, Inc	512199	Agent - Health	10/18/2001	6/10/2002