DEPARTMENT OF INSURANCE

Affiliations

Name	Hart, Amy Claire	DOIID	918332	NAIC NPN	17972890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/28/2016	11/1/2018
Inactive	Resident	Agent	Life	7/28/2016	11/1/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/25/2017	11/1/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/25/2017	11/1/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/25/2017	11/1/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/5/2017	3/12/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/5/2017	3/12/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/1/2017	11/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/1/2017	11/1/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/27/2017	12/10/2018
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	7/29/2016	9/19/2017
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	7/29/2016	9/19/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/10/2017	12/21/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/10/2017	12/21/2018
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	7/29/2016	9/19/2017
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	7/29/2016	9/19/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/2/2016	10/5/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/25/2017	11/1/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/26/2017	12/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/4/2016	10/5/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/27/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/26/2017	11/1/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/26/2017	11/1/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/27/2017	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/27/2017	12/10/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	12/12/2017	12/26/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	12/12/2017	12/26/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/6/2017	12/17/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/6/2017	12/17/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/20/2017	12/24/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/20/2017	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/24/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/20/2017	12/24/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/1/2017	11/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/1/2017	11/1/2018