DEPARTMENT OF INSURANCE

Affiliations

Name	Hamlet, Staci Blake	DOIID	626403	NAIC NPN	8718902

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	6/28/2018	5/31/2026
Active	Resident	Agent	Health	8/21/2008	5/31/2026
Active	Resident	Agent	Life	8/21/2008	5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	03/15/2026	05/31/2026
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/11/2008	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/11/2008	4/15/2025
Inactive	Combined Insurance Company of America	301472	Agent - Health	7/7/2006	6/1/2008
Inactive	Combined Insurance Company of America	301472	Agent - Life	7/7/2006	6/1/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/25/2010	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/25/2010	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/25/2010	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2010	12/8/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/28/2015	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/4/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/6/2010	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	7/6/2010	8/18/2017
Inactive	Humana Insurance Company	301104	Agent - Life	7/6/2010	8/18/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/6/2010	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/6/2010	12/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/28/2015	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/24/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/24/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/6/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/6/2010	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcorp, LLC	693921	Agent - Health	8/1/2019	3/31/2024
Inactive	Arcorp, LLC	693921	Agent - Life	8/1/2019	3/31/2024
Active	Aspirant, LLC	1198863	Agent - Health	7/10/2024
Active	Aspirant, LLC	1198863	Administrator - Not Applicable	7/10/2024
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	4/15/2025
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Health	9/11/2008	5/30/2017
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Life	9/11/2008	5/30/2017