DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kiebach Meehleder, Stacey Jae	DOIID	735768	NAIC NPN	15918183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/29/2010	4/14/2012
Inactive	Resident	Agent	Health	9/29/2010	4/14/2012
* 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	National Teachers Associates Life Insurance Company	300107	Agent - Health	10/4/2010	1/24/2011
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	10/4/2010	1/24/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	10/5/2010	1/24/2011
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	10/5/2010	1/24/2011