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	11/30/2024
Active	Non Resident	Agent	Property	7/31/2018	11/30/2024
Active	Non Resident	Agent	Life	8/18/2015	11/30/2024
Active	Non Resident	Agent	Health	8/18/2015	11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

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