DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Banville, Stacey Ann	DOIID	984686	NAIC NPN	8186533

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/15/2018		11/30/2024
Active	Non Resident	Agent	Life	2/6/2023		11/30/2024
Active	Non Resident	Agent	Casualty	2/15/2018		11/30/2024
Active	Non Resident	Agent	Health	2/6/2023		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Direct General Life Insurance Company	301045	Agent - Life	2/7/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/16/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/16/2018
Active	Integon General Insurance Corporation	301186	Agent - Casualty	12/16/2023
Active	Integon General Insurance Corporation	301186	Agent - Property	12/16/2023
Active	National General Insurance Company	300152	Agent - Casualty	2/21/2018
Active	National General Insurance Company	300152	Agent - Property	2/21/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Property	2/21/2018
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	2/21/2018
Inactive	CWI, LLC	662170	Agent - Property	2/21/2018	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	2/21/2018	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	2/21/2018	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	2/21/2018	4/29/2024
Active	Direct General Insurance Agency Inc	1018980	Agent - Property	9/18/2020
Active	Direct General Insurance Agency Inc	1018980	Agent - Casualty	9/18/2020
Active	National General Ins Marketing Inc	621228	Agent - Property	2/21/2018
Active	National General Ins Marketing Inc	621228	Agent - Casualty	2/21/2018