DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bengard, Amy J	DOIID	616554	NAIC NPN	8228788

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/13/2008	10/31/2010
Inactive	Non Resident	Agent	Health	2/13/2008	10/31/2010
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/14/2006	10/31/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/14/2006	10/31/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Health	10/20/2005	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	10/20/2005	6/30/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/8/2005	10/31/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	11/8/2005	10/31/2006
Inactive	United World Life Insurance Company	300532	Agent - Health	3/3/2008	8/4/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	QBE First Enterprises LLC	610980	Agent - Life
Inactive	QBE First Enterprises LLC	610980	Agent - Health	5/9/2008	7/31/2008