DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dolberry, Stacey	DOIID	1292057	NAIC NPN	3478937

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/16/2023		8/31/2026
Active	Non Resident	Agent	Life	8/16/2023		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	5/23/2024
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	5/23/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/14/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	9/14/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	9/14/2023
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/18/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/18/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/14/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	9/14/2023
Active	Unum Insurance Company	301499	Agent - Health	9/14/2023
Active	Unum Insurance Company	301499	Agent - Life	9/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Consulting Inc NJ	399932	Agent - Life	2/19/2026
Active	Aon Consulting Inc NJ	399932	Agent - Health	2/19/2026