DEPARTMENT OF INSURANCE
Affiliations
NameAMA Insurance Agency Inc.DOIID396159NAIC NPN66129
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAdministratorNot Applicable3/22/1991 3/31/2027
ActiveNon ResidentAgentLife1/31/2001 3/31/2027
ActiveNon ResidentAgentProperty1/31/2001 3/31/2027
ActiveNon ResidentAgentCasualty1/31/2001 3/31/2027
ActiveNon ResidentAgentHealth1/31/2001 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Administrator01/15/202703/31/2027   
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive21st Century North America Insurance Company300884Agent - Casualty1/31/20014/7/2009
Inactive21st Century North America Insurance Company300884Agent - Property1/31/20014/7/2009
InactiveAccendo Insurance Company300312Agent - Life10/23/202412/19/2025
ActiveAetna Health Inc. (PA)660717Agent - Health11/17/2024 
InactiveAetna Health and Life Insurance Company300523Agent - Health10/23/202412/19/2025
ActiveAetna Health of Ohio Inc.1065035Agent - Health11/17/2024 
ActiveAetna Life Insurance Company301140Agent - Health11/17/2024 
ActiveAmerican General Life Insurance Company301585Agent - Health11/11/2012 
ActiveAmerican General Life Insurance Company301585Agent - Life11/11/2012 
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health2/12/200712/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life2/12/200712/31/2012
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/15/2015 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/15/2015 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health9/18/2017 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health10/31/2024 
InactiveConnecticut General Life Insurance Company301333Agent - Health12/26/20086/11/2014
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/23/202412/19/2025
ActiveDoctors Company, an Interinsurance Exchange (The)301946Agent - Casualty9/12/2024 
ActiveDoctors Company, an Interinsurance Exchange (The)301946Agent - Property9/12/2024 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty5/21/2009 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property5/21/2009 
ActiveHartford Life and Accident Insurance Company300878Agent - Health3/30/2001 
ActiveHartford Life and Accident Insurance Company300878Agent - Life3/30/2001 
InactiveJackson National Life Insurance Company300486Agent - Life10/17/20026/3/2003
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/15/20043/1/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Life1/15/20043/1/2007
ActiveLM Insurance Corporation301061Agent - Casualty5/21/2009 
ActiveLM Insurance Corporation301061Agent - Property5/21/2009 
ActiveLiberty Insurance Corporation300444Agent - Casualty5/21/2009 
ActiveLiberty Insurance Corporation300444Agent - Property5/21/2009 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty5/21/2009 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property5/21/2009 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty5/21/2009 
ActiveLiberty Mutual Insurance Company301159Agent - Property5/21/2009 
InactiveLife Investors Insurance Company of America301793Agent - Health5/25/200110/2/2008
InactiveLife Investors Insurance Company of America301793Agent - Life5/25/200110/2/2008
InactiveMetropolitan Life Insurance Company301948Agent - Health1/22/200411/25/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life1/22/200411/25/2009
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty4/25/2016 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health4/25/2016 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property4/25/2016 
ActiveNew York Life Insurance Company300431Agent - Health4/24/2012 
ActiveNew York Life Insurance Company300431Agent - Life4/24/2012 
ActivePhysicians Mutual Insurance Company, Inc.301084Agent - Health3/6/2001 
ActivePrincipal Life Insurance Company300129Agent - Health9/7/2010 
ActivePrincipal Life Insurance Company300129Agent - Life9/7/2010 
ActivePrincipal National Life Insurance Company301926Agent - Life3/15/2024 
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/13/200112/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/13/200112/30/2009
ActivePruco Life Insurance Company300954Agent - Life2/8/2025 
InactiveReliaStar Life Insurance Company301712Agent - Life4/21/20092/3/2017
ActiveSilverScript Insurance Company663526Agent - Health11/17/2024 
ActiveSymetra Life Insurance Company301691Agent - Health11/2/2023 
ActiveSymetra Life Insurance Company301691Agent - Life11/2/2023 
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/30/200111/18/2024
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/30/200111/18/2024
InactiveTime Insurance Company300683Agent - Health4/24/200912/20/2014
InactiveTime Insurance Company300683Agent - Life4/24/200912/20/2014
ActiveTransamerica Life Insurance Company300571Agent - Health10/2/2008 
ActiveTransamerica Life Insurance Company300571Agent - Life10/2/2008 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health8/19/200910/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life8/19/200910/1/2020
InactiveUNUM Life Insurance Company of America300817Agent - Health3/13/200112/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life3/13/200112/30/2009
InactiveUnion Central Life Insurance Company300307Agent - Health10/29/20087/1/2014
InactiveUnion Central Life Insurance Company300307Agent - Life10/29/20087/1/2014
ActiveUnited States Life Insurance Company in the City of New York301126Agent - Health1/31/2001 
ActiveUnited States Life Insurance Company in the City of New York301126Agent - Life1/31/2001 
ActiveUnitedHealthcare Insurance Company300946Agent - Health10/31/2024 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/31/2024 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAllen, Wakisha K 979847Agent - Casualty  
ActiveAllen, Wakisha K 979847Agent - Health2/13/2026 
ActiveAllen, Wakisha K 979847Agent - Life2/13/2026 
DeniedAllen, Wakisha K 979847Agent - Property  
InactiveBallard, Daniel Joseph 369849Agent - Casualty8/15/20001/9/2004
InactiveBallard, Daniel Joseph 369849Agent - Property8/15/20001/9/2004
Pending ReplacementBender, Joseph 1047653Agent - Health8/6/2019 
Pending ReplacementBender, Joseph 1047653Agent - Life8/6/2019 
InactiveBurke, John Christopher 655667Administrator - Not Applicable3/4/20115/19/2014
InactiveBurke, John Christopher 655667Agent - Health9/5/20075/19/2014
InactiveBurke, John Christopher 655667Agent - Life9/5/20075/19/2014
InactiveCamper, Lynda M 1002622Agent - Health9/19/20188/31/2024
InactiveCamper, Lynda M 1002622Agent - Life9/19/20188/31/2024
InactiveCohen, Judy 796440Administrator - Not Applicable8/30/20177/31/2021
InactiveCohen, Judy 796440Agent - Casualty12/17/20127/31/2021
InactiveCohen, Judy 796440Agent - Health12/17/20127/31/2021
InactiveCohen, Judy 796440Agent - Life12/17/20127/31/2021
InactiveCohen, Judy 796440Agent - Property12/17/20127/31/2021
InactiveDrowne, Alfred 918534Agent - Casualty10/25/20161/5/2018
InactiveDrowne, Alfred 918534Agent - Health10/25/20161/5/2018
InactiveDrowne, Alfred 918534Agent - Life10/25/20161/5/2018
InactiveDrowne, Alfred 918534Agent - Property10/25/20161/5/2018
ActiveFarmer, Brian Eric 667326Agent - Casualty10/25/2016 
ActiveFarmer, Brian Eric 667326Agent - Health10/25/2016 
ActiveFarmer, Brian Eric 667326Agent - Life10/25/2016 
ActiveFarmer, Brian Eric 667326Agent - Property10/25/2016 
InactiveFriday, Denise Susan 382322Administrator - Not Applicable9/26/20037/20/2018
InactiveFriday, Denise Susan 382322Agent - Casualty11/18/20097/20/2018
InactiveFriday, Denise Susan 382322Agent - Health1/31/20017/20/2018
InactiveFriday, Denise Susan 382322Agent - Life1/31/20017/20/2018
InactiveFriday, Denise Susan 382322Agent - Property11/18/20097/20/2018
InactiveHeadley, Peter Fredericks 330054Administrator - Not Applicable3/22/19913/29/2005
InactiveHeadley, Peter Fredericks 330054Agent - Health1/31/20011/9/2004
InactiveHeadley, Peter Fredericks 330054Agent - Life1/31/20011/9/2004
ActiveHegwood, John Michael 645375Agent - Health10/25/2016 
ActiveHegwood, John Michael 645375Agent - Life10/25/2016 
ActiveHenderson, Kendra Danielle 1047759Agent - Health7/29/2019 
ActiveHenderson, Kendra Danielle 1047759Agent - Life7/29/2019 
DeniedHill, Daren 1053882Agent - Health  
DeniedHill, Daren 1053882Agent - Life  
InactiveHuber, Daryl Jon 715335Agent - Health10/25/201612/17/2025
InactiveHuber, Daryl Jon 715335Agent - Life10/25/201612/17/2025
InactiveHudson, Beverly Gray 561869Agent - Casualty1/9/20042/2/2012
InactiveHudson, Beverly Gray 561869Agent - Health1/9/20042/2/2012
InactiveHudson, Beverly Gray 561869Agent - Life1/9/20042/2/2012
InactiveHudson, Beverly Gray 561869Agent - Property1/9/20042/2/2012
InactiveJackson, Shamika 1002630Agent - Health9/19/20187/23/2021
InactiveJackson, Shamika 1002630Agent - Life9/19/20187/23/2021
InactiveLavender, Patricia Ann 879985Agent - Health10/25/20168/31/2024
InactiveLavender, Patricia Ann 879985Agent - Life10/25/20168/31/2024
InactiveMcHugh, Mary Anne 335098Administrator - Not Applicable3/22/19911/8/1996
ActiveMcintyre, Diana 964487Administrator - Not Applicable8/30/2017 
ActiveMoy, Pamela T 998350Administrator - Not Applicable7/20/2018 
DeniedMoy, Pamela T 998350Agent - Casualty  
ActiveMoy, Pamela T 998350Agent - Health7/20/2018 
ActiveMoy, Pamela T 998350Agent - Life7/20/2018 
DeniedMoy, Pamela T 998350Agent - Property  
InactivePerroni, Carol S 933593Agent - Health10/25/20163/10/2026
InactivePerroni, Carol S 933593Agent - Life10/25/20163/10/2026
InactiveSchuman, Susan J 330034Administrator - Not Applicable1/27/19941/8/1996
InactiveSivels, John P 951772Agent - Health4/26/20176/2/2022
InactiveSivels, John P 951772Agent - Life4/26/20176/2/2022
ActiveSmith, Sonja D 933568Agent - Health10/24/2016 
ActiveSmith, Sonja D 933568Agent - Life10/24/2016 
InactiveStuart, Michael Wade 312020Administrator - Not Applicable3/22/19911/8/1996
ActiveSwain, Annette M 879983Agent - Health10/25/2016 
ActiveSwain, Annette M 879983Agent - Life10/25/2016 
ActiveWalker, Cassandra 1004702Administrator - Not Applicable8/14/2018 
ActiveWright, Sandra 1004697Administrator - Not Applicable8/14/2018 

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