DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Amburgey, Tessa Rae	DOIID	969134	NAIC NPN	18547262

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	1/29/2019		4/30/2026
Active	Resident	Agent	Property	1/29/2019		4/30/2026
Active	Resident	Agent	Limited Line Credit	9/22/2017		4/30/2026
* 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	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	9/28/2017	6/7/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/31/2019
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abound Credit Union	400018	Agent - Limited Line Credit	9/28/2017	5/6/2020