DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Boaz, Amanda Carol	DOIID	747900	NAIC NPN	7506173

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/28/2011	3/12/2021
Inactive	Resident	Agent	Property	2/28/2011	3/12/2021
Inactive	Resident	Agent	Life	2/28/2011	3/12/2021
Inactive	Resident	Agent	Casualty	2/28/2011	3/12/2021
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/17/2014	10/21/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/17/2014	10/21/2016
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	2/26/2015	8/31/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/26/2015	8/31/2020
Inactive	State Farm Life Insurance Company	301810	Agent - Life	2/26/2015	8/31/2020
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/26/2015	8/31/2020
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	2/26/2015	8/31/2020
Inactive	Time Insurance Company	300683	Agent - Health	2/26/2015	6/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tracy Davis Insurance Agcy Inc	827505	Agent - Casualty	11/14/2013	9/26/2014
Inactive	Tracy Davis Insurance Agcy Inc	827505	Agent - Health	11/14/2013	9/26/2014
Inactive	Tracy Davis Insurance Agcy Inc	827505	Agent - Life	11/14/2013	9/26/2014
Inactive	Tracy Davis Insurance Agcy Inc	827505	Agent - Property	11/14/2013	9/26/2014