DEPARTMENT OF INSURANCE

Affiliations

Name	Stutzman, Theresa Karen	DOIID	727501	NAIC NPN	8908964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/31/2013	8/18/2014
Inactive	Non Resident	Agent	Health	8/31/2013	8/18/2014
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/7/2014	8/29/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/12/2011	2/27/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/12/2011	2/27/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/18/2013	8/18/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/12/2010	2/27/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/12/2010	2/27/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/18/2013	8/18/2014
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	2/4/2011	12/21/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/4/2011	12/21/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/19/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/19/2010	12/17/2012
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/21/2011	2/27/2013
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/21/2011	2/27/2013
Denied	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/18/2013	8/18/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/18/2013	8/18/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/18/2013	8/18/2014
Inactive	Humana Insurance Company	301104	Agent - Life	9/18/2013	8/18/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/18/2013	8/18/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/18/2013	8/18/2014
Denied	Humana Medical Plan, Inc.	801568	Agent - Health
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/26/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/26/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/18/2013	8/18/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/18/2013	8/18/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/17/2010	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	6/1/2012	2/27/2013
Inactive	Time Insurance Company	300683	Agent - Health	10/22/2012	2/27/2013
Inactive	Time Insurance Company	300683	Agent - Life	10/22/2012	2/27/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/20/2012	2/27/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/20/2012	2/27/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/20/2012	2/27/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/20/2012	2/27/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/17/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/17/2010	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/5/2012	2/27/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/5/2012	2/27/2013

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	12/16/2013	8/18/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	8/18/2014