DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Amanda Rose	DOIID	773005	NAIC NPN	16504127

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/11/2020	6/30/2026
Active	Non Resident	Agent	Property	6/1/2022	6/30/2026
Active	Non Resident	Agent	Casualty	6/1/2022	6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	05/02/2024	05/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/20/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/20/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/20/2020
Active	Allstate Indemnity Company	300778	Agent - Casualty	5/19/2023
Active	Allstate Indemnity Company	300778	Agent - Property	5/19/2023
Active	Allstate Insurance Company	300773	Agent - Casualty	5/19/2023
Active	Allstate Insurance Company	300773	Agent - Property	5/19/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	5/19/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	5/19/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/19/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/19/2023
Active	American Economy Insurance Company	300315	Agent - Casualty	6/25/2024
Active	American Economy Insurance Company	300315	Agent - Property	6/25/2024
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	9/26/2012	6/30/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/26/2012	6/30/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/26/2012	6/30/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/26/2012	6/30/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/26/2012	6/30/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/26/2012	6/30/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/26/2012	6/30/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/26/2012	6/30/2016
Active	American Strategic Insurance Corp	883540	Agent - Casualty	6/8/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	6/8/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/26/2020	3/3/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	3/3/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	3/3/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/22/2023
Active	Bristol West Insurance Company	301655	Agent - Property	5/22/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	3/3/2022
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	5/19/2023	4/24/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/19/2023	4/24/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	5/22/2023
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	5/22/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/22/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/22/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/22/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/22/2023
Inactive	GEICO Marine Insurance Company	590512	Agent - Casualty	2/2/2012	11/23/2015
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	1/31/2012	4/18/2016
Inactive	Government Employees Insurance Company	300376	Agent - Property	1/31/2012	4/18/2016
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/3/2015	6/14/2016
Inactive	Homesite Insurance Company	301139	Agent - Property	12/3/2015	6/14/2016
Active	SilverScript Insurance Company	663526	Agent - Health	11/20/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/14/2021	5/17/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/14/2021	5/17/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/14/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/14/2021	5/17/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/20/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	1/31/2012	4/18/2016
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	1/31/2012	4/18/2016
Denied	Selectquote Auto & Home Ins Services LLC	788155	Agent - Property
Denied	Selectquote Auto & Home Ins Services LLC	788155	Agent - Casualty