DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stornant, Becky D	DOIID	714314	NAIC NPN	4801919

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/25/2009	4/30/2013
Inactive	Non Resident	Agent	Health	9/25/2009	4/30/2013
Inactive	Non Resident	Agent	Casualty	9/25/2009	4/30/2013
Inactive	Non Resident	Agent	Property	9/25/2009	4/30/2013
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	1/12/2012	10/23/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/12/2012	10/23/2012
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	2/10/2012	10/23/2012
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	2/10/2012	10/23/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	9/26/2012	10/23/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/12/2012	10/23/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	9/26/2012	10/23/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/12/2012	10/23/2012