DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hyde, Stacey Stephenson	DOIID	596499	NAIC NPN	369384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/4/2004	4/30/2022
Inactive	Non Resident	Agent	Health	10/4/2004	4/30/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C.M. Life Insurance Company	301335	Agent - Health	10/21/2004	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/21/2004	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/21/2004	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/21/2004	11/12/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	FHIS, Inc.	543875	Agent - Health	3/2/2005	11/12/2012
Inactive	FHIS, Inc.	543875	Agent - Life	3/2/2005	11/12/2012