DEPARTMENT OF INSURANCE
Affiliations
NameStacy, Teresa KDOIID626968NAIC NPN8470650
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth3/1/20066/30/2015 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCompBenefits Dental, Inc.591692Agent - Health4/30/200912/5/2014
InactiveDental Concern Inc. (The)301641Agent - Health3/21/200912/5/2014
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/201412/5/2014
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/201212/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/22/200612/5/2014
InactiveHumana Insurance Company301104Agent - Health3/22/200612/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/22/200612/5/2014
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/201412/5/2014
InactiveHumanaDental Insurance Company301457Agent - Health8/31/20062/24/2012
InactiveKanawha Insurance Company300127Agent - Health7/13/201112/5/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana MarketPOINT Inc.398092Agent - Health4/2/200912/5/2014

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