DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Stormi	DOIID	909620	NAIC NPN	17871589

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/3/2021	1/31/2024
Inactive	Non Resident	Agent	Casualty	6/1/2018	1/31/2020
Inactive	Non Resident	Agent	Property	6/1/2018	1/31/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/10/2021	7/13/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/10/2021	7/13/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/10/2021	7/13/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/3/2021	2/12/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	2/12/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	2/12/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	2/12/2022
Inactive	North River Insurance Company (The)	301739	Agent - Casualty	6/21/2018	3/28/2019
Inactive	North River Insurance Company (The)	301739	Agent - Property	6/21/2018	3/28/2019
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/21/2016	1/31/2018
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/21/2016	1/31/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/10/2021	7/13/2022
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	6/21/2018	3/28/2019
Inactive	United States Fire Insurance Company	582240	Agent - Property	6/21/2018	3/28/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/3/2021	8/2/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/3/2021	8/2/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/3/2021	8/2/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/3/2021	8/2/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	7/12/2018	3/28/2019
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	7/12/2018	3/28/2019