DEPARTMENT OF INSURANCE

Affiliations

Name	Dean, Staci Michelle	DOIID	910956	NAIC NPN	17891393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/20/2020	7/31/2025
Active	Non Resident	Agent	Casualty	10/20/2020	7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	6/23/2023	8/11/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	6/23/2023	8/11/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	6/23/2023	8/11/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	6/23/2023	8/11/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	6/23/2023	8/11/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	6/23/2023	8/11/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	6/23/2023	8/11/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	6/23/2023	8/11/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/18/2023	2/22/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/18/2023	2/22/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/16/2023	8/1/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/16/2023	8/1/2023
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/7/2016	5/10/2019
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/7/2016	5/10/2019
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	6/16/2023	8/1/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	6/16/2023	8/1/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/16/2023	8/1/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/16/2023	8/1/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/16/2023	8/1/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/16/2023	8/1/2023
Inactive	National General Insurance Company	300152	Agent - Casualty	10/29/2020	9/21/2022
Inactive	National General Insurance Company	300152	Agent - Property	10/29/2020	9/21/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/27/2016	7/31/2019
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/27/2016	7/31/2019
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	4/27/2016	7/31/2019
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	4/27/2016	7/31/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/20/2016	7/31/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/20/2016	7/31/2019
Inactive	United Financial Casualty Company	301886	Agent - Casualty	4/20/2016	7/31/2019
Inactive	United Financial Casualty Company	301886	Agent - Property	4/20/2016	7/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	11/17/2020	8/21/2022
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	11/17/2020	8/21/2022
Inactive	CWI, LLC	662170	Agent - Property	11/17/2020	9/21/2022
Inactive	CWI, LLC	662170	Agent - Casualty	11/17/2020	9/21/2022
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	11/17/2020	9/21/2022
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	11/17/2020	9/21/2022
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	11/17/2020	8/21/2022
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	11/17/2020	8/21/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Property	11/17/2020	8/21/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	11/17/2020	8/21/2022
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Property	6/16/2023	7/27/2023
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Casualty	6/16/2023	7/27/2023