DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carter, Amy Leigh	DOIID	880306	NAIC NPN	8578569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/12/2015	11/15/2021
Inactive	Non Resident	Agent	Casualty	6/12/2015	11/15/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/12/2015	11/15/2021
* 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	Selective Insurance Company of the Southeast	300381	Agent - Casualty	1/17/2018	10/22/2020
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	1/17/2018	10/22/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tis Ins Services Inc	523150	Agent - Property	3/11/2020	10/22/2020
Inactive	Tis Ins Services Inc	523150	Agent - Casualty	3/11/2020	10/22/2020