DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter, Amy Elizabeth	DOIID	618825	NAIC NPN	7329420

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/28/2005	1/31/2020
Inactive	Non Resident	Agent	Life	10/28/2005	1/31/2020
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/2/2016	3/1/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/2/2016	3/1/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/13/2006	3/10/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/13/2006	3/10/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/13/2006	3/10/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/13/2006	3/10/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Keystone Ins & Benefits Group LLC	716920	Agent - Health	8/6/2018	1/31/2020
Inactive	Keystone Ins & Benefits Group LLC	716920	Agent - Life	8/6/2018	1/31/2020
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Health	10/16/2007	8/15/2012
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Life	10/16/2007	8/15/2012