DEPARTMENT OF INSURANCE

Affiliations

Name	Hansen, Stacy A	DOIID	629414	NAIC NPN	7973185

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/11/2006	2/29/2012
Inactive	Non Resident	Agent	Health	4/11/2006	2/29/2012
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/10/2008	12/22/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/10/2008	12/22/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/10/2008	12/22/2009
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	8/1/2007	5/20/2009
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	8/1/2007	5/20/2009
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	4/1/2008	9/28/2009
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	4/1/2008	9/28/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/20/2008	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/20/2008	9/9/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/20/2008	9/9/2010
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/27/2008	2/29/2012
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/27/2008	3/29/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/8/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/6/2008	3/29/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/15/2007	2/29/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/15/2007	2/29/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/14/2007	2/29/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/14/2007	2/29/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/20/2008	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	8/20/2008	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	8/20/2008	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/20/2008	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/20/2008	9/9/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/4/2007	3/2/2010
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	5/1/2006	2/1/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	5/1/2006	2/1/2007
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/21/2010	2/29/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	9/13/2006	3/2/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/4/2007	3/2/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/4/2007	3/2/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Life	9/27/2007	2/1/2011
Inactive	QBE First Enterprises LLC	610980	Agent - Health	10/16/2006	2/1/2011