DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Stayce A	DOIID	732937	NAIC NPN	2176607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/17/2020	12/31/2021
Inactive	Non Resident	Agent	Life	7/22/2010	12/31/2013
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/19/2011	2/6/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/19/2011	2/6/2014
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/28/2010	8/16/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/28/2010	8/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/26/2013	12/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/26/2013	12/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/28/2013	12/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/28/2013	12/31/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/28/2013	12/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2013	12/31/2013
Inactive	Humana Insurance Company	301104	Agent - Health	9/28/2013	12/31/2013
Inactive	Humana Insurance Company	301104	Agent - Life	9/28/2013	12/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2013	12/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/28/2013	12/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/16/2011	12/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/16/2011	12/31/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/26/2010	12/31/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/26/2010	12/31/2013
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/20/2011	12/31/2013
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/20/2011	12/31/2013
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/18/2010	12/31/2013
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/18/2010	12/31/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/26/2010	12/31/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/26/2010	12/31/2013

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 - Life	9/26/2013	12/31/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/26/2013	12/31/2013
Inactive	Willis Of Illinois Inc	398318	Agent - Life	4/5/2012	5/10/2013
Inactive	Willis Of Illinois Inc	398318	Agent - Health	4/5/2012	5/10/2013