DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Amy	DOIID	897725	NAIC NPN	17766376

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	11/6/2015	12/1/2017
Inactive	Resident	Agent	Casualty	11/6/2015	12/1/2017
* 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	Motorists Mutual Insurance Company	300963	Agent - Casualty	1/27/2016	12/19/2016
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	1/27/2016	12/19/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	1/27/2016	12/19/2016
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	1/27/2016	12/19/2016