DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crow, Amy	DOIID	825376	NAIC NPN	17087371

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/22/2013	11/30/2014
Inactive	Non Resident	Agent	Life	10/22/2013	11/30/2014
* 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	Continental American Insurance Company	301700	Agent - Health	10/31/2013	11/30/2014
Inactive	Continental American Insurance Company	301700	Agent - Life	10/31/2013	11/30/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/20/2013	11/30/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/20/2013	11/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/9/2014	11/30/2014
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/9/2014	11/30/2014