DEPARTMENT OF INSURANCE

Affiliations

Name	Penticuff, Amanda Jean	DOIID	869511	NAIC NPN	17509055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	2/23/2022		11/30/2026
Active	Resident	Agent	Property	2/24/2022		11/30/2026
Inactive	Resident	Agent	Health	2/27/2015	12/1/2018
Inactive	Resident	Agent	Life	3/2/2015	12/1/2018
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/21/2015	12/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/21/2015	12/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/21/2015	12/1/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/25/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/25/2016	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/26/2015	10/25/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/26/2015	10/25/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/18/2015	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/25/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/25/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/18/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	8/18/2015	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/25/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/25/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/18/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/11/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/11/2015	10/22/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/26/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/26/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/16/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/20/2015	12/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/20/2015	12/1/2018