DEPARTMENT OF INSURANCE

Name	Roth, Stacey Clancy	DOIID	1121030	NAIC NPN	19796313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	2/17/2021	1/31/2027
Active	Non Resident	Agent	Property	4/27/2023	1/31/2027
Active	Non Resident	Agent	Life	5/20/2024	1/31/2027
Active	Non Resident	Agent	Casualty	4/27/2023	1/31/2027
Active	Non Resident	Agent	Health	5/20/2024	1/31/2027

*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	1 Horace Mann Plz Springfield, IL 627150001

Internet Information

Type	Address
Business Email	stacey.roth@horacemann.com

Phone Information

Type	Phone
Business / Home Office	(504) 444-6384