DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stiles, Jacqueline Kay	DOIID	743666	NAIC NPN	2047358

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/22/2010	6/30/2012
Inactive	Non Resident	Agent	Health	12/22/2010	6/30/2012
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	Golden Rule Insurance Company	301943	Agent - Health	3/28/2011	6/30/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/28/2011	6/30/2012
Inactive	Standard Insurance Company	300185	Agent - Health	4/27/2012	6/30/2012
Inactive	Standard Insurance Company	300185	Agent - Life	4/27/2012	6/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	One Source Benefits Llc	748846	Agent - Health	3/28/2011	6/30/2012
Inactive	One Source Benefits Llc	748846	Agent - Life	3/28/2011	6/30/2012