DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Kyle Branden	DOIID	651573	NAIC NPN	9132225

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/7/2007		10/31/2025
Active	Resident	Agent	Health	5/7/2007		10/31/2025
Active	Resident	Life & Health Consultant	Not Applicable	5/6/2013		10/31/2025
* 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	08/15/2025	10/31/2025
Life & Health Consultant	08/15/2025	10/31/2025

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	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/18/2011	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/18/2011	4/15/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Benefit Ins Marketing Inc	398449	Agent - Health	4/18/2011
Inactive	Benefit Ins Marketing Inc	398449	Agent - Life	4/18/2011	4/15/2025
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	4/15/2025