DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Amos, Andi	DOIID	333860	NAIC NPN	7182467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/20/1995	6/30/1996
Inactive	Resident	Agent	Life	4/20/1995	6/30/1996
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/20/1995	4/15/1996
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/20/1995	4/15/1996
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/22/1995	6/30/1996
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/22/1995	12/31/2003
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	5/19/1995	6/30/1996
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	5/19/1995	6/30/1996
Inactive	Physicians Life Insurance Company	300924	Agent - Life	1/16/1996	6/30/1996
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	1/16/1996	6/30/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Financial Corporation	399864	Agent - Health	5/10/1995	6/30/1996
Inactive	Cornerstone Financial Corporation	399864	Agent - Life	5/10/1995	6/30/1996