DEPARTMENT OF INSURANCE
Affiliations
NameSampler, Stephanie LynnDOIID1052384NAIC NPN8501510
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty8/20/2019 5/31/2026
ActiveNon ResidentAgentProperty8/20/2019 5/31/2026
ActiveNon ResidentAgentHealth8/20/2019 5/31/2026
ActiveNon ResidentAgentLife8/20/2019 5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202605/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAAA Life Insurance Company300287Agent - Health10/11/2021 
ActiveAAA Life Insurance Company300287Agent - Life10/11/2021 
InactiveAccendo Insurance Company300312Agent - Life8/21/20204/10/2024
ActiveAetna Health Inc. (PA)660717Agent - Health9/10/2020 
InactiveAetna Health and Life Insurance Company300523Agent - Health8/21/20204/10/2024
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/10/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/10/2020 
InactiveAmerican Continental Insurance Company643130Agent - Life8/21/20208/11/2021
ActiveAmerican Economy Insurance Company300315Agent - Casualty2/8/2022 
ActiveAmerican Economy Insurance Company300315Agent - Property2/8/2022 
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty10/6/202112/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property10/6/202112/13/2023
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/10/20202/25/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/20212/25/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/20212/25/2022
InactiveAnthem Life Insurance Company301209Agent - Health9/10/20202/25/2022
InactiveAnthem Life Insurance Company301209Agent - Life9/10/20202/25/2022
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty11/13/20198/26/2020
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property11/13/20198/26/2020
ActiveBristol West Insurance Company301655Agent - Casualty10/22/2021 
ActiveBristol West Insurance Company301655Agent - Property10/22/2021 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty9/21/2022 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Property9/21/2022 
ActiveCSAA General Insurance Company606675Agent - Casualty9/21/2022 
ActiveCSAA General Insurance Company606675Agent - Property9/21/2022 
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/20212/25/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/21/20204/10/2024
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty5/11/20208/24/2020
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property5/11/20208/24/2020
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty10/6/2021 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property10/6/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty10/22/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property10/22/2021 
InactiveMutual of Omaha Insurance Company301012Agent - Health9/23/202011/14/2022
ActiveSAFECO Insurance Company of America300159Agent - Casualty2/28/2022 
ActiveSAFECO Insurance Company of America300159Agent - Property2/28/2022 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty2/8/2022 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property2/8/2022 
ActiveSilverScript Insurance Company663526Agent - Health9/10/2020 
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty11/13/20198/26/2020
InactiveStandard Fire Insurance Company (The)301068Agent - Property11/13/20198/26/2020
InactiveThe Phoenix Insurance Company301502Agent - Casualty11/13/20198/26/2020
InactiveThe Phoenix Insurance Company301502Agent - Property11/13/20198/26/2020
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty11/13/20198/26/2020
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property11/13/20198/26/2020
InactiveTravelers Personal Insurance Company705785Agent - Casualty11/13/20198/26/2020
InactiveTravelers Personal Insurance Company705785Agent - Property11/13/20198/26/2020
InactiveUnited World Life Insurance Company300532Agent - Health9/23/202011/14/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/23/202011/14/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/23/202011/14/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/8/20202/21/2022
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/8/20202/21/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/8/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/8/20202/21/2022
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty9/28/202110/23/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property9/28/202110/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Casualty9/28/202110/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Property9/28/202110/23/2024
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/16/202012/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/16/202012/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAca Club Insurance Agency, Inc.1033550Agent - Casualty10/6/2021 
ActiveAca Club Insurance Agency, Inc.1033550Agent - Life10/4/2021 
ActiveAca Club Insurance Agency, Inc.1033550Agent - Health10/4/2021 
ActiveAca Club Insurance Agency, Inc.1033550Agent - Property10/6/2021 

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