DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hites, Ambria Nicole	DOIID	1032813	NAIC NPN	19073402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	3/11/2019	5/31/2021
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/11/2019	5/27/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	9/11/2019	5/31/2021
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	11/18/2019	5/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank of Jamestown	398179	Agent - Limited Line Credit	11/22/2019	6/9/2021