DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Paddock, Amie Berry	DOIID	1117398	NAIC NPN	11396965

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/20/2021		6/30/2027
Active	Non Resident	Agent	Property	1/20/2021		6/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/5/2021		6/30/2027
* 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	04/15/2025	06/30/2025	05/01/2025	05/01/2025	Yes
Surplus Lines Broker	04/15/2025	06/30/2025	05/01/2025	05/01/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crum & Forster Insurance Brokers, Inc.	570764	Agent - Casualty	7/5/2023
Active	Crum & Forster Insurance Brokers, Inc.	570764	Agent - Property	7/5/2023
Active	Crum & Forster Insurance Brokers, Inc.	570764	Surplus Lines Broker - Not Applicable	3/9/2021