DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cybyske, Amy	DOIID	1027834	NAIC NPN	18995544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/6/2019		2/28/2025
Active	Non Resident	Agent	Life	2/6/2019		2/28/2025
* 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	Fidelity Security Life Insurance Company	300466	Agent - Health	3/20/2019	7/19/2021
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/20/2019	7/19/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/27/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/27/2019
Active	Metropolitan Life Insurance Company	301948	Agent - Health	4/18/2019
Active	Metropolitan Life Insurance Company	301948	Agent - Life	4/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Union Privilege Inc	600375	Agent - Life	4/2/2019
Active	Union Privilege Inc	600375	Agent - Health	4/2/2019