DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Doss, Amy Rachelle	DOIID	605378	NAIC NPN	7001668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/21/2005	10/5/2012
Inactive	Non Resident	Agent	Life	3/21/2005	10/5/2012
Inactive	Non Resident	Agent	Property	3/21/2005	10/5/2012
Inactive	Non Resident	Agent	Health	3/21/2005	10/5/2012
* 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	Nationwide Assurance Company	300166	Agent - Casualty	3/28/2005	1/9/2012
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	1/1/2012
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	1/1/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/28/2005	2/23/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/28/2005	1/1/2012
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	3/28/2005	1/1/2012
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	3/28/2005	1/1/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/28/2005	1/1/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/28/2005	1/1/2012
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	3/28/2005	1/1/2012
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	3/28/2005	1/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Partners Insurance & Financial Services, Inc	730972	Agent - Casualty	10/20/2011	1/1/2012
Inactive	Partners Insurance & Financial Services, Inc	730972	Agent - Health	10/20/2011	2/23/2012
Inactive	Partners Insurance & Financial Services, Inc	730972	Agent - Life	10/20/2011	1/1/2012
Inactive	Partners Insurance & Financial Services, Inc	730972	Agent - Property	10/20/2011	1/1/2012