DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stockman, Susan K	DOIID	639736	NAIC NPN	1748669

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/12/2006		10/31/2026
Active	Non Resident	Agent	Health	9/12/2006		10/31/2026
* 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	Dental Concern Inc. (The)	301641	Agent - Health	11/4/2016	12/19/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/26/2017	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/11/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/28/2016	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/11/2016	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/11/2016	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/11/2016	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/11/2016	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/26/2017	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/26/2017	12/19/2019
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/22/2009	8/22/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/22/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	10/25/2006	10/30/2009
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	10/25/2006	10/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	6/2/2009	2/1/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	6/2/2009	2/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Midwest LLC	517736	Agent - Life	4/7/2010	8/18/2016
Inactive	USI Midwest LLC	517736	Agent - Health	4/7/2010	8/18/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/5/2016	2/1/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/5/2016	2/1/2021