DEPARTMENT OF INSURANCE
Affiliations
NameClark, Amanda RoseDOIID773005NAIC NPN16504127
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth11/11/2020 6/30/2026
ActiveNon ResidentAgentProperty6/1/2022 6/30/2026
ActiveNon ResidentAgentCasualty6/1/2022 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202606/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health11/20/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health11/20/2020 
ActiveAetna Life Insurance Company301140Agent - Health11/20/2020 
InactiveAllstate Indemnity Company300778Agent - Casualty5/19/202312/11/2024
InactiveAllstate Indemnity Company300778Agent - Property5/19/202312/11/2024
InactiveAllstate Insurance Company300773Agent - Casualty5/19/202312/11/2024
InactiveAllstate Insurance Company300773Agent - Property5/19/202312/11/2024
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty5/19/202312/11/2024
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property5/19/202312/11/2024
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty5/19/202312/11/2024
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Property5/19/202312/11/2024
InactiveAmerican Economy Insurance Company300315Agent - Casualty6/25/202411/20/2024
InactiveAmerican Economy Insurance Company300315Agent - Property6/25/202411/20/2024
InactiveAmerican Family Home Insurance Company301817Agent - Casualty9/26/20126/30/2016
InactiveAmerican Family Home Insurance Company301817Agent - Property9/26/20126/30/2016
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty9/26/20126/30/2016
InactiveAmerican Modern Home Insurance Company300791Agent - Property9/26/20126/30/2016
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty9/26/20126/30/2016
InactiveAmerican Modern Select Insurance Company581481Agent - Property9/26/20126/30/2016
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty9/26/20126/30/2016
InactiveAmerican Southern Home Insurance Company626276Agent - Property9/26/20126/30/2016
InactiveAmerican Strategic Insurance Corp883540Agent - Casualty6/8/202311/27/2024
InactiveAmerican Strategic Insurance Corp883540Agent - Property6/8/202311/27/2024
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/26/20203/3/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/20213/3/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/23/20213/3/2022
InactiveBristol West Insurance Company301655Agent - Casualty5/22/202312/4/2024
InactiveBristol West Insurance Company301655Agent - Property5/22/202312/4/2024
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty7/15/2025 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Property7/15/2025 
ActiveCSAA General Insurance Company606675Agent - Casualty7/15/2025 
ActiveCSAA General Insurance Company606675Agent - Property7/15/2025 
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/23/20213/3/2022
InactiveEncompass Indemnity Company546376Agent - Casualty5/19/20234/24/2024
InactiveEncompass Indemnity Company546376Agent - Property5/19/20234/24/2024
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty5/22/202312/4/2024
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property5/22/202312/4/2024
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty5/22/202312/4/2024
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property5/22/202312/4/2024
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/12/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/12/2024 
ActiveGEICO Marine Insurance Company590512Agent - Casualty6/9/2025 
ActiveGEICO Marine Insurance Company590512Agent - Property6/9/2025 
InactiveGovernment Employees Insurance Company300376Agent - Casualty1/31/20124/18/2016
InactiveGovernment Employees Insurance Company300376Agent - Property1/31/20124/18/2016
InactiveHomesite Insurance Company301139Agent - Casualty12/3/20156/14/2016
InactiveHomesite Insurance Company301139Agent - Property12/3/20156/14/2016
ActiveRoot Insurance Company964834Agent - Casualty11/26/2024 
ActiveRoot Insurance Company964834Agent - Property11/26/2024 
ActiveSilverScript Insurance Company663526Agent - Health11/20/2020 
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/14/20215/17/2022
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health3/14/20215/17/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/14/202112/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/14/20215/17/2022
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/20/202012/28/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health11/20/202012/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGeico Insurance Agency, LLC558517Agent - Property1/31/20124/18/2016
InactiveGeico Insurance Agency, LLC558517Agent - Casualty1/31/20124/18/2016
InactivePolicygenius LLC874468Agent - Property11/11/202411/20/2024
InactivePolicygenius LLC874468Agent - Casualty11/11/202411/20/2024
InactivePolicygenius LLC874468Agent - Health11/11/202411/20/2024
DeniedSelectquote Auto & Home Ins Services LLC788155Agent - Property  
DeniedSelectquote Auto & Home Ins Services LLC788155Agent - Casualty  

© Commonwealth of Kentucky. All rights reserved.