DEPARTMENT OF INSURANCE

Affiliations

Name	Penticuff, Amanda Jean	DOIID	869511	NAIC NPN	17509055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	2/23/2022		11/30/2026
Active	Resident	Agent	Property	2/24/2022		11/30/2026
Inactive	Resident	Agent	Health	2/27/2015	12/1/2018
Inactive	Resident	Agent	Life	3/2/2015	12/1/2018
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/21/2015	12/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/21/2015	12/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/21/2015	12/1/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/25/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/25/2016	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/26/2015	10/25/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/26/2015	10/25/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/18/2015	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/25/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/25/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/18/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	8/18/2015	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/25/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/25/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/18/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/11/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/11/2015	10/22/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/26/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/26/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/16/2015	2/14/2017

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	8/20/2015	12/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/20/2015	12/1/2018