DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lacks, Amanda L	DOIID	894525	NAIC NPN	15965655

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/28/2018		9/30/2025
Active	Non Resident	Agent	Property	3/28/2018		9/30/2025
Inactive	Non Resident	Agent	Health	10/7/2015	9/30/2017
Inactive	Non Resident	Agent	Life	10/7/2015	9/30/2017
Active	Non Resident	Staff Adjuster	Property & Casualty	5/9/2024		9/30/2025
* 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	07/15/2025	09/30/2025
Staff Adjuster	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Milbank Insurance Company	925185	Agent - Casualty	2/20/2019	10/21/2024
Inactive	Milbank Insurance Company	925185	Agent - Property	2/20/2019	10/21/2024
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/6/2018	10/21/2024
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	4/6/2018	10/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rockhill Underwriting Mgmt LLC	655056	Agent - Property	5/21/2018	10/21/2024
Inactive	Rockhill Underwriting Mgmt LLC	655056	Agent - Casualty	5/21/2018	10/21/2024