DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Ray Eugene	DOIID	1087130	NAIC NPN	19454416

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/23/2020	5/31/2027
Active	Non Resident	Agent	Life	6/23/2020	5/31/2027
* 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	03/15/2025	05/31/2025	05/06/2025	05/06/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/1/2023	11/7/2023
Active	Accendo Insurance Company	300312	Agent - Life	3/1/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/9/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/1/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/24/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	3/9/2023
Active	American General Life Insurance Company	301585	Agent - Health	7/15/2024
Active	American General Life Insurance Company	301585	Agent - Life	7/15/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/26/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/2/2023	7/25/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/26/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/19/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/19/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/26/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/1/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/1/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/30/2020	6/25/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/30/2020	6/25/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/6/2023	5/16/2024
Active	Humana Insurance Company	301104	Agent - Health	6/20/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/17/2023	5/16/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/23/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/9/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/19/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	6/30/2020	6/25/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Health	6/30/2020	6/25/2023