DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stafford, Zachary	DOIID	769018	NAIC NPN	4696698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/2/2018		3/31/2025
Active	Non Resident	Agent	Life	1/2/2018		3/31/2025
* 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
Active	Anthem Life Insurance Company	301209	Agent - Life	2/17/2018
Active	Dental Concern Inc. (The)	301641	Agent - Health	4/2/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/25/2019	12/19/2019
Active	Humana Insurance Company	301104	Agent - Health	2/9/2021
Inactive	Humana Insurance Company	301104	Agent - Life	4/25/2019	12/19/2019
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	7/26/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/25/2019	12/19/2019
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/11/2011	3/31/2015
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/11/2011	3/31/2015
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	9/2/2021
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	9/2/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/2/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/2/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	1/24/2020
Active	Designated Agent Company Inc.	681257	Agent - Life	2/19/2018
Active	Designated Agent Company Inc.	681257	Agent - Health	2/19/2018