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DEPARTMENT OF INSURANCE
Affiliations
Name
Stack, Susan H
DOIID
541610
NAIC NPN
7220285
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
1/11/2002
12/31/2025
Active
Resident
Agent
Health
1/18/2002
12/31/2025
Active
Resident
Agent
Variable Life and Variable Annuities
8/19/2004
12/31/2025
* 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
Allianz Life Insurance Company of North America
301791
Agent - Life
11/19/2018
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
11/19/2018
Active
American United Life Insurance Company
300498
Agent - Health
1/4/2017
Active
American United Life Insurance Company
300498
Agent - Life
1/4/2017
Active
American United Life Insurance Company
300498
Agent - Variable Life and Variable Annuities
1/4/2017
Inactive
Anthem Life Insurance Company
301209
Agent - Health
5/2/2003
12/31/2009
Inactive
Anthem Life Insurance Company
301209
Agent - Life
5/2/2003
12/31/2009
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
9/23/2003
10/31/2006
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
9/23/2003
10/31/2006
Inactive
C.M. Life Insurance Company
301335
Agent - Health
7/26/2002
8/30/2004
Inactive
C.M. Life Insurance Company
301335
Agent - Life
7/26/2002
8/30/2004
Inactive
CHA HMO, Inc.
300662
Agent - Health
9/17/2003
11/17/2004
Inactive
CHA HMO, Inc.
300662
Agent - Life
9/17/2003
2/7/2005
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Health
10/23/2003
11/9/2006
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Life
10/23/2003
11/9/2006
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
9/23/2003
10/31/2006
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
9/23/2003
10/31/2006
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
12/2/2002
2/7/2007
Inactive
Humana Insurance Company
301104
Agent - Health
12/2/2002
2/7/2007
Inactive
Humana Insurance Company
301104
Agent - Life
12/2/2002
2/7/2007
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
8/23/2024
12/11/2024
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
8/23/2024
12/11/2024
Inactive
John Alden Life Insurance Company
300573
Agent - Health
7/10/2003
11/14/2006
Inactive
John Alden Life Insurance Company
300573
Agent - Life
7/10/2003
11/14/2006
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
12/14/2016
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
12/14/2016
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
12/14/2016
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
2/21/2017
12/19/2018
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
7/26/2002
8/30/2004
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
7/26/2002
8/30/2004
Active
Minnesota Life Insurance Company
300488
Agent - Health
11/18/2024
Active
Minnesota Life Insurance Company
300488
Agent - Life
11/18/2024
Active
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
11/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
2/9/2017
12/10/2018
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
2/9/2017
12/10/2018
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
8/19/2003
10/18/2005
Inactive
Northwestern Long Term Care Insurance Company
300135
Agent - Health
1/30/2002
6/6/2002
Inactive
Northwestern Mutual Life Insurance Company
300931
Agent - Health
1/18/2002
6/6/2002
Inactive
Northwestern Mutual Life Insurance Company
300931
Agent - Life
1/11/2002
6/6/2002
Inactive
Principal Life Insurance Company
300129
Agent - Health
10/24/2003
12/3/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
10/24/2003
12/3/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Health
12/23/2002
12/4/2006
Inactive
Pruco Life Insurance Company
300954
Agent - Life
12/23/2002
12/4/2006
Active
Transamerica Life Insurance Company
300571
Agent - Life
10/28/2014
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/28/2014
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
1/10/2003
11/22/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
1/10/2003
11/22/2005
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
1/10/2003
11/22/2005
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
4/24/2003
6/23/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
4/24/2003
6/23/2008
Inactive
Designated Agent Company Inc.
681257
Agent - Life
6/29/2008
2/11/2025
Inactive
Designated Agent Company Inc.
681257
Agent - Health
6/29/2008
12/19/2016
Active
LPL FINANCIAL LLC
399327
Agent - Life
12/16/2022
Active
LPL FINANCIAL LLC
399327
Agent - Variable Life and Variable Annuities
12/16/2022
Inactive
Medlink Inc
400721
Agent - Life
6/16/2003
3/31/2024
Inactive
Medlink Inc
400721
Agent - Health
6/16/2003
12/19/2016
Inactive
United Planners Financial Services of America
398106
Agent - Life
5/14/2019
3/17/2025
Active
United Planners Financial Services of America
398106
Agent - Health
5/14/2019
Inactive
United Planners Financial Services of America
398106
Agent - Variable Life and Variable Annuities
5/14/2019
3/17/2025
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