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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Life Insurance Company	301209	Agent - Health	9/11/2008
Active	Anthem Life Insurance Company	301209	Agent - Life	9/11/2008
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
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
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