DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stafford, Zachary	DOIID	769018	NAIC NPN	4696698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/13/2024		3/31/2027
Active	Non Resident	Agent	Life	1/2/2018		3/31/2027
Active	Non Resident	Agent	Health	1/2/2018		3/31/2027
Active	Non Resident	Agent	Property	11/13/2024		3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/17/2018	4/15/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/2/2021	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/25/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	2/9/2021	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	4/25/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/26/2021	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/25/2019	12/19/2019
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/11/2011	3/31/2015
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/11/2011	3/31/2015
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	9/2/2021
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	9/2/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/2/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/2/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	1/24/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/19/2018	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/19/2018	2/17/2025