DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shah, Amy Bettis	DOIID	569690	NAIC NPN	7690049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/13/2015	3/31/2020
Inactive	Non Resident	Agent	Health	2/10/2015	3/31/2020
Inactive	Resident	Agent	Limited Line Credit	3/9/2009	3/31/2012
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/3/2017	8/21/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/3/2017	8/21/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/23/2018	6/28/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/23/2018	6/28/2019
Inactive	Combined Insurance Company of America	301472	Agent - Health	2/12/2015	9/2/2015
Inactive	Combined Insurance Company of America	301472	Agent - Life	2/12/2015	9/2/2015
Inactive	Continental American Insurance Company	301700	Agent - Health	7/3/2017	8/21/2018
Inactive	Continental American Insurance Company	301700	Agent - Life	7/3/2017	8/21/2018
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/9/2009	3/31/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/21/2003	7/1/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/7/2003	7/1/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/7/2003	7/1/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/9/2003	7/1/2004
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/8/2003	4/28/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CBIA	527160	Agent - Life
Inactive	Central Bank & Trust Company	398350	Agent - Limited Line Credit	3/17/2009	9/3/2010
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	4/27/2004	7/1/2004