DEPARTMENT OF INSURANCE
Affiliations
NameForman, Amy DOIID1088922NAIC NPN16547950
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/11/202012/31/2021 
InactiveNon ResidentAgentLife7/11/202012/31/2021 
InactiveNon ResidentAgentVariable Life and Variable Annuities7/11/202012/31/2021 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveThrivent Financial for Lutherans301101Agent - Health7/14/202012/1/2021
InactiveThrivent Financial for Lutherans301101Agent - Life7/14/202012/1/2021
InactiveThrivent Financial for Lutherans301101Agent - Variable Life and Variable Annuities7/14/202012/1/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveThrivent Ins Agency Inc510973Agent - Life7/29/202012/1/2021
InactiveThrivent Ins Agency Inc510973Agent - Health7/29/202012/1/2021
InactiveThrivent Ins Agency Inc510973Agent - Variable Life and Variable Annuities7/29/202012/1/2021

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