DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Nikki Georgette	DOIID	993963	NAIC NPN	18756561

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/29/2018	4/30/2020
Inactive	Non Resident	Agent	Health	5/29/2018	4/30/2020
* 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	Amalgamated Life Insurance Company	701415	Agent - Health	3/5/2020	4/30/2020
Inactive	Amalgamated Life Insurance Company	701415	Agent - Life	3/5/2020	4/30/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	11/10/2018	2/12/2019
Inactive	Continental American Insurance Company	301700	Agent - Health	1/31/2019	10/1/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	1/31/2019	10/1/2019
Inactive	Federal Insurance Company	301144	Agent - Health	11/1/2018	4/30/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/29/2018	4/30/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	6/19/2019	4/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/12/2019	4/30/2020