DEPARTMENT OF INSURANCE

Affiliations

Name	Fox, Amy Sue	DOIID	710838	NAIC NPN	14634917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/3/2009	3/31/2020
Inactive	Resident	Agent	Life	9/3/2009	3/31/2020
* 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	American Continental Insurance Company	643130	Agent - Health	9/28/2009	2/17/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	9/28/2009	3/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/14/2010	3/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/14/2010	3/31/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/30/2009	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/30/2009	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/30/2009	8/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/29/2009	8/20/2012
Inactive	Forethought Life Insurance Company	301407	Agent - Health	12/17/2010	1/17/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	12/17/2010	1/17/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/22/2009	1/7/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/22/2009	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/20/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/20/2010	10/4/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/1/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/1/2010	12/17/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	4/13/2011	6/24/2013
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	4/13/2011	6/24/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/29/2009	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2009	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/30/2009	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/29/2009	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/29/2009	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/30/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/30/2009	2/23/2012
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	5/9/2012	3/31/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	5/9/2012	3/31/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/23/2009	12/26/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/21/2010	3/9/2017
Inactive	Omaha Insurance Company	751908	Agent - Health	10/11/2012	8/22/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/26/2009	3/31/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/23/2009	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/23/2009	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/2/2018	3/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/14/2010	3/31/2020