DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Stacey Antoinette	DOIID	1103433	NAIC NPN	19074912

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	12/13/2022		6/30/2025
Pending Replacement	Non Resident	Agent	Health	10/7/2020		6/30/2025
Pending Replacement	Non Resident	Agent	Property	12/13/2022		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/8/2024	9/9/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/8/2024	9/9/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/8/2024	9/9/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/7/2024	3/10/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/7/2024	3/10/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/29/2024	9/4/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/7/2024	3/10/2025
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/27/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/29/2024	6/17/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/10/2020	2/6/2025
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	12/21/2022	5/3/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/8/2024	9/9/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/29/2024	9/4/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/29/2024	9/4/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/11/2024	4/2/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/20/2023	5/7/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	1/4/2023	5/3/2023
Inactive	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	1/4/2023	5/3/2023
Inactive	Gohealth LLC	691445	Agent - Health	4/26/2024	9/24/2024