DEPARTMENT OF INSURANCE

Affiliations

Name	AMA Insurance Agency Inc.	DOIID	396159	NAIC NPN	66129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	3/22/1991	3/31/2025
Active	Non Resident	Agent	Property	1/31/2001	3/31/2025
Active	Non Resident	Agent	Life	1/31/2001	3/31/2025
Active	Non Resident	Agent	Health	1/31/2001	3/31/2025
Active	Non Resident	Agent	Casualty	1/31/2001	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2025	03/31/2025
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	1/31/2001	4/7/2009
Inactive	21st Century North America Insurance Company	300884	Agent - Property	1/31/2001	4/7/2009
Active	American General Life Insurance Company	301585	Agent - Health	11/11/2012
Active	American General Life Insurance Company	301585	Agent - Life	11/11/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/12/2007	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/12/2007	12/31/2012
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/15/2015
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	12/15/2015
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/18/2017
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	12/26/2008	6/11/2014
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	5/21/2009
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	5/21/2009
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/30/2001
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/30/2001
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/17/2002	6/3/2003
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/15/2004	3/1/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/15/2004	3/1/2007
Active	LM Insurance Corporation	301061	Agent - Casualty	5/21/2009
Active	LM Insurance Corporation	301061	Agent - Property	5/21/2009
Active	Liberty Insurance Corporation	300444	Agent - Casualty	5/21/2009
Active	Liberty Insurance Corporation	300444	Agent - Property	5/21/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/21/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/21/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/21/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Property	5/21/2009
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	5/25/2001	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	5/25/2001	10/2/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/22/2004	11/25/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/22/2004	11/25/2009
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	4/25/2016
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/25/2016
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	4/25/2016
Active	New York Life Insurance Company	300431	Agent - Health	4/24/2012
Active	New York Life Insurance Company	300431	Agent - Life	4/24/2012
Active	Physicians Mutual Insurance Company	301084	Agent - Health	3/6/2001
Active	Principal Life Insurance Company	300129	Agent - Health	9/7/2010
Active	Principal Life Insurance Company	300129	Agent - Life	9/7/2010
Active	Principal National Life Insurance Company	301926	Agent - Life	3/15/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/13/2001	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/13/2001	12/30/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/21/2009	2/3/2017
Active	Symetra Life Insurance Company	301691	Agent - Health	11/2/2023
Active	Symetra Life Insurance Company	301691	Agent - Life	11/2/2023
Active	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/30/2001
Active	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/30/2001
Inactive	Time Insurance Company	300683	Agent - Health	4/24/2009	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	4/24/2009	12/20/2014
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/2/2008
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/2/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/19/2009	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/19/2009	10/1/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/13/2001	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/13/2001	12/30/2009
Inactive	Union Central Life Insurance Company	300307	Agent - Health	10/29/2008	7/1/2014
Inactive	Union Central Life Insurance Company	300307	Agent - Life	10/29/2008	7/1/2014
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	1/31/2001
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	1/31/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ballard, Daniel Joseph	369849	Agent - Casualty	8/15/2000	1/9/2004
Inactive	Ballard, Daniel Joseph	369849	Agent - Property	8/15/2000	1/9/2004
Active	Bender, Joseph	1047653	Agent - Health	8/6/2019
Active	Bender, Joseph	1047653	Agent - Life	8/6/2019
Inactive	Burke, John Christopher	655667	Administrator - Not Applicable	3/4/2011	5/19/2014
Inactive	Burke, John Christopher	655667	Agent - Health	9/5/2007	5/19/2014
Inactive	Burke, John Christopher	655667	Agent - Life	9/5/2007	5/19/2014
Active	Camper, Lynda M	1002622	Agent - Health	9/19/2018
Active	Camper, Lynda M	1002622	Agent - Life	9/19/2018
Inactive	Cohen, Judy	796440	Administrator - Not Applicable	8/30/2017	7/31/2021
Inactive	Cohen, Judy	796440	Agent - Casualty	12/17/2012	7/31/2021
Inactive	Cohen, Judy	796440	Agent - Health	12/17/2012	7/31/2021
Inactive	Cohen, Judy	796440	Agent - Life	12/17/2012	7/31/2021
Inactive	Cohen, Judy	796440	Agent - Property	12/17/2012	7/31/2021
Inactive	Drowne, Alfred	918534	Agent - Casualty	10/25/2016	1/5/2018
Inactive	Drowne, Alfred	918534	Agent - Health	10/25/2016	1/5/2018
Inactive	Drowne, Alfred	918534	Agent - Life	10/25/2016	1/5/2018
Inactive	Drowne, Alfred	918534	Agent - Property	10/25/2016	1/5/2018
Active	Farmer, Brian Eric	667326	Agent - Casualty	10/25/2016
Active	Farmer, Brian Eric	667326	Agent - Health	10/25/2016
Active	Farmer, Brian Eric	667326	Agent - Life	10/25/2016
Active	Farmer, Brian Eric	667326	Agent - Property	10/25/2016
Inactive	Friday, Denise Susan	382322	Administrator - Not Applicable	9/26/2003	7/20/2018
Inactive	Friday, Denise Susan	382322	Agent - Casualty	11/18/2009	7/20/2018
Inactive	Friday, Denise Susan	382322	Agent - Health	1/31/2001	7/20/2018
Inactive	Friday, Denise Susan	382322	Agent - Life	1/31/2001	7/20/2018
Inactive	Friday, Denise Susan	382322	Agent - Property	11/18/2009	7/20/2018
Inactive	Headley, Peter Fredericks	330054	Administrator - Not Applicable	3/22/1991	3/29/2005
Inactive	Headley, Peter Fredericks	330054	Agent - Health	1/31/2001	1/9/2004
Inactive	Headley, Peter Fredericks	330054	Agent - Life	1/31/2001	1/9/2004
Active	Hegwood, John Michael	645375	Agent - Health	10/25/2016
Active	Hegwood, John Michael	645375	Agent - Life	10/25/2016
Active	Henderson, Kendra Danielle	1047759	Agent - Health	7/29/2019
Active	Henderson, Kendra Danielle	1047759	Agent - Life	7/29/2019
Denied	Hill, Daren	1053882	Agent - Health
Denied	Hill, Daren	1053882	Agent - Life
Active	Huber, Daryl Jon	715335	Agent - Health	10/25/2016
Active	Huber, Daryl Jon	715335	Agent - Life	10/25/2016
Inactive	Hudson, Beverly Gray	561869	Agent - Casualty	1/9/2004	2/2/2012
Inactive	Hudson, Beverly Gray	561869	Agent - Health	1/9/2004	2/2/2012
Inactive	Hudson, Beverly Gray	561869	Agent - Life	1/9/2004	2/2/2012
Inactive	Hudson, Beverly Gray	561869	Agent - Property	1/9/2004	2/2/2012
Inactive	Jackson, Shamika	1002630	Agent - Health	9/19/2018	7/23/2021
Inactive	Jackson, Shamika	1002630	Agent - Life	9/19/2018	7/23/2021
Active	Lavender, Patricia Ann	879985	Agent - Health	10/25/2016
Active	Lavender, Patricia Ann	879985	Agent - Life	10/25/2016
Inactive	McHugh, Mary Anne	335098	Administrator - Not Applicable	3/22/1991	1/8/1996
Active	Mcintyre, Diana	964487	Administrator - Not Applicable	8/30/2017
Active	Moy, Pamela T	998350	Administrator - Not Applicable	7/20/2018
Denied	Moy, Pamela T	998350	Agent - Casualty
Active	Moy, Pamela T	998350	Agent - Health	7/20/2018
Active	Moy, Pamela T	998350	Agent - Life	7/20/2018
Denied	Moy, Pamela T	998350	Agent - Property
Active	Perroni, Carol S	933593	Agent - Health	10/25/2016
Active	Perroni, Carol S	933593	Agent - Life	10/25/2016
Inactive	Peterson, Wakisha K	979847	Agent - Health	11/1/2018	11/30/2023
Inactive	Peterson, Wakisha K	979847	Agent - Life	11/1/2018	11/30/2023
Inactive	Schuman, Susan J	330034	Administrator - Not Applicable	1/27/1994	1/8/1996
Inactive	Sivels, John P	951772	Agent - Health	4/26/2017	6/2/2022
Inactive	Sivels, John P	951772	Agent - Life	4/26/2017	6/2/2022
Active	Smith, Sonja D	933568	Agent - Health	10/24/2016
Active	Smith, Sonja D	933568	Agent - Life	10/24/2016
Inactive	Stuart, Michael Wade	312020	Administrator - Not Applicable	3/22/1991	1/8/1996
Active	Swain, Annette M	879983	Agent - Health	10/25/2016
Active	Swain, Annette M	879983	Agent - Life	10/25/2016
Active	Walker, Cassandra	1004702	Administrator - Not Applicable	8/14/2018
Active	Wright, Sandra	1004697	Administrator - Not Applicable	8/14/2018