DEPARTMENT OF INSURANCE
Affiliations
NameMattingly, Amy MarieDOIID657498NAIC NPN9376848
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife7/10/2007 4/30/2026
ActiveResidentAgentHealth7/10/2007 4/30/2026
ActiveResidentAgentVariable Life and Variable Annuities8/3/2007 4/30/2026
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveJefferson National Life Insurance Company300258Agent - Life5/19/2011 
ActiveJefferson National Life Insurance Company300258Agent - Variable Life and Variable Annuities5/19/2011 
ActiveNationwide Life Insurance Company300495Agent - Health8/28/2019 
ActiveNationwide Life Insurance Company300495Agent - Life8/28/2019 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities8/28/2019 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health8/28/2019 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life8/28/2019 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities8/28/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJefferson National Securities Corporation729663Agent - Life1/6/20123/31/2020
InactiveJefferson National Securities Corporation729663Agent - Variable Life and Variable Annuities1/6/20123/31/2020

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