DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Amos, William Carpender	DOIID	562723	NAIC NPN	688274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/6/2003	4/1/2016
Inactive	Non Resident	Agent	Life	1/6/2003	4/1/2016
* 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	Union Security Insurance Company	301844	Agent - Health	4/24/2003	4/1/2016
Inactive	Union Security Insurance Company	301844	Agent - Life	4/24/2003	4/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ism Insurance, Inc.	397638	Agent - Health	1/18/2005	12/29/2015
Inactive	Ism Insurance, Inc.	397638	Agent - Life	1/18/2005	12/29/2015