DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mullen, Amy	DOIID	765256	NAIC NPN	7443128

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/29/2011	2/28/2021
Inactive	Non Resident	Agent	Life	9/29/2011	2/28/2021
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	9/4/2013	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/4/2013	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/4/2013	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/4/2013	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/10/2014	12/1/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/10/2014	12/1/2016
Denied	Usi Insurance Services LLC	669260	Agent - Health
Denied	Usi Insurance Services LLC	669260	Agent - Life