DEPARTMENT OF INSURANCE

Affiliations

Name	King, Amanda	DOIID	887516	NAIC NPN	17682666

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/31/2018	11/30/2026
Active	Non Resident	Agent	Health	8/18/2015	11/30/2026
Active	Non Resident	Agent	Property	7/31/2018	11/30/2026
Active	Non Resident	Agent	Life	8/18/2015	11/30/2026
* 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	American Heritage Life Insurance Company	300272	Agent - Health	1/15/2017	9/10/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	1/15/2017	9/10/2018
Active	Continental American Insurance Company	301700	Agent - Health	9/28/2015
Active	Continental American Insurance Company	301700	Agent - Life	9/28/2015
Active	Granite State Insurance Company	300818	Agent - Casualty	10/17/2018
Active	Granite State Insurance Company	300818	Agent - Property	10/17/2018
Active	Illinois National Insurance Company	301367	Agent - Casualty	10/17/2018
Active	Illinois National Insurance Company	301367	Agent - Property	10/17/2018
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	10/17/2018
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/17/2018
Active	Nationwide Life Insurance Company	300495	Agent - Health	9/12/2016
Active	Nationwide Life Insurance Company	300495	Agent - Life	9/12/2016
Active	New Hampshire Insurance Company	301670	Agent - Casualty	10/17/2018
Active	New Hampshire Insurance Company	301670	Agent - Property	10/17/2018
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	10/18/2018
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	10/18/2018
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	10/18/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/6/2015	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/6/2015	7/29/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/9/2016	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/9/2016	12/18/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/6/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/6/2015	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/15/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/15/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Property	1/15/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	1/15/2019