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DEPARTMENT OF INSURANCE
Affiliations
Name
Wiley, Staci Cherise
DOIID
688501
NAIC NPN
10033581
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
9/8/2008
11/30/2012
Inactive
Non Resident
Agent
Health
9/8/2008
11/30/2012
* 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
Hartford Life and Accident Insurance Company
300878
Agent - Health
10/1/2008
12/30/2012
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
10/1/2008
12/30/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Assn Group Ins Administrators
518628
Agent - Life
9/2/2010
11/30/2012
Inactive
Assn Group Ins Administrators
518628
Agent - Health
9/2/2010
11/30/2012
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