DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carmack, Stacy L	DOIID	728139	NAIC NPN	15763473

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	9/23/2010		4/30/2026
Active	Resident	Agent	Casualty	9/23/2010		4/30/2026
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/17/2013	4/8/2016
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/17/2013	4/8/2016
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015	9/17/2015
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015	9/17/2015
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	9/13/2013	9/17/2015
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	9/13/2013	9/17/2015
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	9/13/2013	9/17/2015
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	9/13/2013	9/17/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/27/2015	2/23/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/27/2015	2/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/27/2015	2/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/27/2015	2/23/2017
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015	9/17/2015
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015	9/17/2015
Active	West Bend Insurance Company	672974	Agent - Casualty	6/21/2016
Active	West Bend Insurance Company	672974	Agent - Property	6/21/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ash Group, LLC	523782	Agent - Property	9/9/2015
Active	Ash Group, LLC	523782	Agent - Casualty	9/9/2015