DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cross, Amber	DOIID	841325	NAIC NPN	17274570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/5/2014	4/1/2016
Inactive	Resident	Agent	Health	6/5/2014	4/1/2016
* 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	Pruco Life Insurance Company	300954	Agent - Life	12/4/2014	4/1/2016
Inactive	State Life Insurance Company	301497	Agent - Health	11/27/2014	4/1/2016
Inactive	State Life Insurance Company	301497	Agent - Life	11/27/2014	4/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	12/4/2014	4/1/2016
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	11/27/2014	4/1/2016