DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

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