DEPARTMENT OF INSURANCE

Affiliations

Name	Hart, Amy B	DOIID	577553	NAIC NPN	7888920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	12/28/2009		10/31/2024
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	10/14/2003	7/1/2006
Inactive	Resident	Agent	Variable Life and Variable Annuities	8/10/2004	7/1/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	9/22/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/1/2005	10/10/2005
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	3/1/2005	10/10/2005
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/17/2003	10/14/2005
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	8/25/2004	10/14/2005
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	12/28/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/27/2004	11/26/2005
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	8/27/2004	11/26/2005
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	8/27/2004	11/26/2005
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	8/27/2004	11/26/2005
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	12/16/2004	7/1/2006
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	12/16/2004	7/1/2006
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/17/2003	10/21/2005
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/14/2003	10/6/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Corning Glass Works Federal Credit Union	762351	Agent - Limited Line Credit	3/13/2015
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	4/27/2004	7/1/2006