DEPARTMENT OF INSURANCE

Name	Stacey, Carolyn Frazier	DOIID	363409	NAIC NPN	7197359

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	3/31/1993	3/1/2001
Inactive	Resident	Agent	Health	3/16/1993	12/1/2003
Inactive	Resident	Agent	Casualty	8/15/2000	12/1/2003
Inactive	Resident	Agent	Property	8/15/2000	12/1/2003
Inactive	Resident	Agent	General Lines	7/9/1986	8/15/2000
Inactive	Resident	Agent	Life	3/16/1993	12/1/2003

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	1417 East Main St P.o. Box PCumberland, KY 40823