DEPARTMENT OF INSURANCE

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.

Appointments with the following Insurers

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

Designated to act on behalf of the following Business Entities

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