black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KATIE ANN STORM

PRODUCER NON-RESIDENT

License Number:
PRN473218
Status:
First Licensure:
01/03/2024
Cancel Date:
None

Mailing:
FLAGSTAFF, AZ 86001
Phone:
+1 (415) 200-3041
Fax:
+1 (760) 402-7843
Email:
kayties@getamplifylife.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/03/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMPLIFY LIFE INSURANCE COMPANY
03/12/2025 AGN376441

Employer

Name Issue Date License Number Expiration Date Cancel Date
EMC NATIONAL LIFE COMPANY
03/07/2025 LHF161
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
03/05/2025 LHF168
UNITED OF OMAHA LIFE INSURANCE COMPANY
01/10/2024 LHF28 03/15/2024

Authority

Description Issue Date Termination Date Status
LIFE 01/03/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19479518

Other Addresses

Address Type
FLAGSTAFF, AZ 86001
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 12/03/2025 12:26:23 PM