DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Debruler, Amanda	DOIID	658473	NAIC NPN	8478782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/27/2007	4/30/2012
Inactive	Non Resident	Agent	Health	6/27/2007	4/30/2012
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/12/2012	4/30/2012
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/12/2012	4/30/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/23/2010	4/30/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/23/2010	4/30/2012
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	1/15/2009	3/7/2011
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	1/15/2009	3/7/2011
Inactive	Life Insurance Company of North America	300711	Agent - Health	2/23/2010	4/30/2012
Inactive	Life Insurance Company of North America	300711	Agent - Life	2/23/2010	4/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/25/2007	4/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/25/2007	4/30/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/25/2007	4/30/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/25/2007	4/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	11/12/2007	4/30/2012
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	11/12/2007	4/30/2012