DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Willoughby, Amanda Nicole	DOIID	767488	NAIC NPN	16403618

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	12/14/2012		12/31/2025
Active	Resident	Agent	Life	7/2/2013		12/31/2025
Active	Resident	Agent	Property	12/14/2012		12/31/2025
Active	Resident	Agent	Health	6/27/2013		12/31/2025
* 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
Active	American Pet Insurance Company, Inc.	301240	Agent - Casualty	11/20/2020
Active	American Pet Insurance Company, Inc.	301240	Agent - Property	11/20/2020
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	12/14/2012
Active	State Farm Fire and Casualty Company	301809	Agent - Property	12/14/2012
Active	State Farm Life Insurance Company	301810	Agent - Life	7/8/2013
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	12/14/2012
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	7/8/2013
Inactive	Time Insurance Company	300683	Agent - Health	7/8/2013	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
Active	Tracy Davis Insurance Agcy Inc	827505	Agent - Property	11/14/2013
Active	Tracy Davis Insurance Agcy Inc	827505	Agent - Casualty	11/14/2013
Active	Tracy Davis Insurance Agcy Inc	827505	Agent - Health	11/14/2013
Active	Tracy Davis Insurance Agcy Inc	827505	Agent - Life	11/14/2013