black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARY A. AMUNDSEN

PRODUCER NON-RESIDENT

License Number:
PRN327144
Status:
First Licensure:
03/06/2019
Cancel Date:
None

Mailing:
OVERLAND PARK, KS 66221
Phone:
+1 (913) 333-3380
Fax:
+1 (913) 345-2608
Email:
mamundsen@broker-source.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/06/2019

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL GUARDIAN LIFE INSURANCE COMPANY
08/31/2020 LHF84860
UNITEDHEALTHCARE INSURANCE COMPANY
03/03/2021 LHF700 12/14/2023
UNITEDHEALTHCARE INSURANCE COMPANY
03/06/2024 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375

Authority

Description Issue Date Termination Date Status
HEALTH 03/06/2019 Active
LIFE 03/06/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8350569

Other Addresses

Address Type
4601 COLLEGE BLVD # 210
LEAWOOD, KS 66211-1650
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: 05/14/2025 11:48:41 PM