DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gustin, Stephen A	DOIID	557762	NAIC NPN	325895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/31/2002	8/4/2022
Inactive	Non Resident	Agent	Casualty	8/31/2006	8/4/2022
Inactive	Non Resident	Agent	Property	8/31/2006	8/4/2022
Inactive	Non Resident	Agent	Life	10/31/2002	8/4/2022
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	10/14/2011	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/14/2011	9/3/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	12/14/2010	4/23/2018
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	12/14/2010	4/23/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/14/2010	4/23/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/14/2010	4/23/2018
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/31/2002	9/22/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/31/2002	9/22/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/14/2011	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/12/2011	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	10/12/2011	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/14/2011	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/14/2011	9/3/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/14/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/14/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/14/2011	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/14/2011	9/3/2013
Inactive	New York Life Insurance Company	300431	Agent - Health	3/17/2014	8/3/2021
Inactive	New York Life Insurance Company	300431	Agent - Life	3/17/2014	8/3/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/9/2014	4/23/2018
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/9/2014	4/23/2018
Inactive	Seabury & Smith Inc	394854	Agent - Property	2/3/2011	4/8/2014
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	2/3/2011	4/8/2014