DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kubanek, Amy Lynn	DOIID	1126499	NAIC NPN	19824224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/9/2021	9/16/2022
Inactive	Non Resident	Agent	Health	3/26/2021	9/16/2022
Inactive	Non Resident	Agent	Life	3/26/2021	9/16/2022
Denied	Non Resident	Managing General Agent	Not Applicable
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CHCS Services, Inc	397791	Administrator - Not Applicable	11/9/2021	9/16/2022