DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Small, Stacy Ann	DOIID	643670	NAIC NPN	3312133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/6/2006		6/30/2027
Active	Non Resident	Agent	Health	11/6/2006		6/30/2027
* 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	04/15/2025	06/30/2025	05/20/2025	05/20/2025	Yes

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	11/16/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/16/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/7/2016	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/7/2016	4/15/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/7/2012	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/7/2012	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	8/7/2012	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	8/7/2012	12/19/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/7/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/7/2012	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	Designated Agent Company Inc.	681257	Agent - Health	12/8/2016	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/8/2016	2/11/2025
Active	Gregory & Appel, Inc.	502133	Agent - Health	12/29/2006
Active	Gregory & Appel, Inc.	502133	Agent - Life	12/29/2006