DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stockman, Susan K	DOIID	639736	NAIC NPN	1748669

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/12/2006		10/31/2026
Active	Non Resident	Agent	Health	9/12/2006		10/31/2026
* 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
Agent	08/15/2024	10/31/2024	09/16/2024	09/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/4/2016	12/19/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/26/2017	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/11/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/28/2016	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/11/2016	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/11/2016	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/11/2016	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/11/2016	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/26/2017	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/26/2017	12/19/2019
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/22/2009	8/22/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/22/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	10/25/2006	10/30/2009
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	10/25/2006	10/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	6/2/2009	2/1/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	6/2/2009	2/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Midwest LLC	517736	Agent - Life	4/7/2010	8/18/2016
Inactive	USI Midwest LLC	517736	Agent - Health	4/7/2010	8/18/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/5/2016	2/1/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/5/2016	2/1/2021