DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ambos, Kenneth R	DOIID	641357	NAIC NPN	6532984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/4/2006	10/31/2012
Inactive	Non Resident	Agent	Health	10/4/2006	10/31/2012
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/21/2008	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/21/2008	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	HRH Metro North East LLC	536157	Agent - Life
Denied	HRH Metro North East LLC	536157	Agent - Health