DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bartoldo, Stacie Lyn	DOIID	593304	NAIC NPN	7971364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/2/2004	5/11/2006
Inactive	Non Resident	Agent	Property	8/2/2004	5/11/2006
Inactive	Non Resident	Agent	Health	2/9/2010	10/31/2012
* 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	Dairyland Insurance Company	301370	Agent - Casualty	8/17/2004	2/22/2005
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/17/2004	2/22/2005
Inactive	Dentegra Insurance Company	300462	Agent - Health	11/1/2011	8/1/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/22/2004	5/11/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/22/2004	5/11/2006
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/29/2010	11/6/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/26/2010	8/8/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/29/2010	8/8/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	10/4/2004	5/8/2006
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	10/4/2004	5/8/2006