DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brosmer, Amy Ellen	DOIID	314905	NAIC NPN	4635866

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Credit Life & Health	11/19/1998	8/7/2000
Inactive	Non Resident	Agent	Health	2/11/2002	9/30/2006
Inactive	Non Resident	Agent	Limited Line Credit	8/7/2000	9/30/2006
Inactive	Non Resident	Agent	Life	2/11/2002	9/30/2006
* 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	Empower Annuity Insurance Company of America	300259	Agent - Life	1/29/2003	10/16/2003
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/2/2005	9/30/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	11/6/2000	9/30/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	9/30/2002	9/30/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	12/16/1998	5/10/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	11/19/1998	3/31/1999
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/23/2003	12/16/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	5/18/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	11/6/2000
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	5/4/2005	9/30/2006
Inactive	Western National Life Insurance Company	300461	Agent - Life	5/14/2002	9/30/2006
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	2/11/2002	9/30/2006
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	2/11/2002	9/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	4/27/2004	9/30/2006