DEPARTMENT OF INSURANCE

Affiliations

Name	Stauffer, Tyler R	DOIID	545192	NAIC NPN	7224307

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/8/2002	9/1/2012
Inactive	Resident	Agent	Property	2/24/2004	9/1/2012
Inactive	Resident	Agent	Casualty	2/24/2004	9/1/2012
Inactive	Resident	Agent	Life	3/8/2002	9/1/2012
* 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	American General Life Insurance Company	301585	Agent - Health	7/12/2002	6/28/2004
Inactive	American General Life Insurance Company	301585	Agent - Life	7/12/2002	6/28/2004
Inactive	American United Life Insurance Company	300498	Agent - Health	2/20/2004	11/1/2004
Inactive	American United Life Insurance Company	300498	Agent - Life	2/20/2004	11/1/2004
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	12/12/2003	7/8/2004
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	12/12/2003	7/8/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Health	12/12/2003	7/8/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Life	12/12/2003	7/8/2004
Inactive	Federated Life Insurance Company	301196	Agent - Health	2/9/2004	6/15/2006
Inactive	Federated Life Insurance Company	301196	Agent - Life	2/9/2004	6/15/2006
Inactive	Federated Mutual Insurance Company	301106	Agent - Casualty	2/24/2004	6/15/2006
Inactive	Federated Mutual Insurance Company	301106	Agent - Property	2/24/2004	6/15/2006
Inactive	Federated Service Insurance Company	301962	Agent - Casualty	2/24/2004	6/15/2006
Inactive	Federated Service Insurance Company	301962	Agent - Property	2/24/2004	6/15/2006
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/16/2003	6/24/2004
Inactive	General American Life Insurance Company	300280	Agent - Health	9/23/2002	9/14/2004
Inactive	General American Life Insurance Company	300280	Agent - Life	9/23/2002	9/14/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/3/2002	6/23/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/3/2002	6/23/2004
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/3/2002	9/20/2004
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/3/2002	9/20/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/5/2003	8/25/2004
Inactive	Humana Insurance Company	301104	Agent - Health	6/5/2003	8/25/2004
Inactive	Humana Insurance Company	301104	Agent - Life	6/5/2003	8/25/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/24/2002	7/29/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/24/2002	7/29/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	9/24/2002	11/17/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	9/24/2002	7/29/2004
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/8/2002	6/28/2004
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/8/2002	6/28/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	5/2/2003	12/3/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	5/2/2003	12/3/2003
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	8/19/2002	2/11/2005
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	8/19/2002	10/22/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/11/2002	9/14/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/11/2002	9/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	8/1/2002	6/23/2004
Inactive	New England Life Insurance Company	300343	Agent - Health	12/11/2002	9/14/2004
Inactive	New England Life Insurance Company	300343	Agent - Life	12/11/2002	9/14/2004
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	7/12/2002	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	7/12/2002	3/31/2003
Inactive	PHL Variable Insurance Company	300525	Agent - Life	7/31/2002	6/23/2004
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	10/1/2002	12/11/2004
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	10/1/2002	12/11/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	8/1/2002	6/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown Of Kentucky Inc	580592	Agent - Health	11/14/2003	8/18/2004
Inactive	Brown & Brown Of Kentucky Inc	580592	Agent - Life	11/14/2003	8/18/2004
Inactive	TEBA, Inc.	400866	Agent - Health	2/13/2003	1/5/2004
Inactive	TEBA, Inc.	400866	Agent - Life	2/13/2003	1/5/2004