DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	West, Stacy J	DOIID	857871	NAIC NPN	17400344

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/23/2014	1/9/2023
Inactive	Non Resident	Agent	Property	10/23/2014	1/9/2023
* 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	Amica Mutual Insurance Company	301405	Agent - Casualty	10/31/2014	11/1/2021
Inactive	Amica Mutual Insurance Company	301405	Agent - Property	10/31/2014	11/1/2021
Inactive	Amica Property and Casualty Insurance Company	962874	Agent - Casualty	4/20/2018	11/1/2021
Inactive	Amica Property and Casualty Insurance Company	962874	Agent - Property	4/20/2018	11/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amica General Agency, LLC	509383	Agent - Property	10/26/2017	11/1/2021
Inactive	Amica General Agency, LLC	509383	Agent - Casualty	10/26/2017	11/1/2021