black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMANDA CLARK

PRODUCER NON-RESIDENT

License Number:
PRN256016
Status:
First Licensure:
09/10/2015
Cancel Date:
None

Mailing:
BOSCOBEL, WI 53805
Phone:
+1 (563) 587-5264
Email:
aclark@siscobenefits.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/10/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
COTTINGHAM & BUTLER INSURANCE SERVICES LLC
09/10/2015 AGN130075

Employer

Name Issue Date License Number Expiration Date Cancel Date
COMPANION LIFE INSURANCE COMPANY
03/23/2023 LHF89767
CONTINENTAL AMERICAN INSURANCE COMPANY
07/18/2016 LHF80843 05/05/2022
CONTINENTAL AMERICAN INSURANCE COMPANY
10/27/2022 LHF80843
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
11/02/2015 LHF250 11/13/2019
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
02/20/2020 LHF250 07/21/2022
STARMOUNT LIFE INSURANCE COMPANY
02/20/2020 LHD131525 07/21/2022
UNUM INSURANCE COMPANY
02/20/2020 LHD241 07/21/2022
UNUM LIFE INSURANCE COMPANY OF AMERICA
11/02/2015 LHD145 11/13/2019
UNUM LIFE INSURANCE COMPANY OF AMERICA
02/20/2020 LHD145 07/21/2022

Authority

Description Issue Date Termination Date Status
HEALTH 09/10/2015 Active
LIFE 09/10/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17623321

Other Addresses

Address Type
COTTINGHAM & BUTLER INSURANCE SERVICES
800 MAIN ST
DUBUQUE, IA 52001-6822
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: 05/19/2025 03:58:17 AM