DEPARTMENT OF INSURANCE

Affiliations

Name	Bass, Amy H	DOIID	761845	NAIC NPN	6571871

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/25/2011	5/31/2015
Inactive	Non Resident	Agent	Life	6/25/2012	5/31/2015
Inactive	Non Resident	Agent	Health	6/25/2012	5/31/2015
Inactive	Non Resident	Agent	Casualty	8/25/2011	5/31/2015
* 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 Fire and Casualty Company	300567	Agent - Casualty	11/28/2011	7/17/2013
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/28/2011	7/17/2013
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/7/2011	7/18/2013
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/7/2011	7/18/2013
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	1/13/2012	7/8/2013
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/13/2012	7/8/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/28/2011	7/17/2013
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/28/2011	7/17/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/28/2011	7/17/2013
Inactive	Indiana Insurance Company	301909	Agent - Property	11/28/2011	7/17/2013
Inactive	NGM Insurance Company	583837	Agent - Casualty	12/8/2011	5/31/2015
Inactive	NGM Insurance Company	583837	Agent - Property	12/8/2011	5/31/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/28/2011	7/17/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/28/2011	7/17/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/28/2011	7/17/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/28/2011	7/17/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	11/28/2011	7/17/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Property	11/28/2011	7/17/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	11/28/2011	7/17/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	11/28/2011	7/17/2013
Inactive	Peerless Insurance Company	301910	Agent - Casualty	11/28/2011	7/17/2013
Inactive	Peerless Insurance Company	301910	Agent - Property	11/28/2011	7/17/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/2/2011	8/5/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	12/2/2011	8/5/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	11/28/2011	7/17/2013
Inactive	West American Insurance Company	301112	Agent - Property	11/28/2011	7/17/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	10/13/2011	6/21/2013
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	10/13/2011	6/21/2013
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Life
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Health