DEPARTMENT OF INSURANCE

Affiliations

Name	Edmundson, Samuel Bradford	DOIID	1162553	NAIC NPN	19859927

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/28/2021		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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/11/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/11/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	10/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/1/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/1/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/1/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/30/2023	4/25/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/18/2025
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/26/2022	12/20/2022
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/30/2023	4/25/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/1/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/4/2023	4/25/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/13/2023	4/25/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/26/2023	4/25/2025
Inactive	Humana Insurance Company	301104	Agent - Health	5/30/2023	4/25/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/30/2023	4/25/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/13/2023	4/25/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/16/2022	2/6/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/5/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/11/2021
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/8/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/18/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/4/2021	9/30/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/4/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/18/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	5/7/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/21/2022	5/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023	5/21/2025