DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clayland Jr, Samuel R	DOIID	919226	NAIC NPN	966205

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/23/2016		9/30/2027
Active	Non Resident	Agent	Health	6/23/2016		9/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/10/2022	11/17/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	3/7/2022	10/14/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	3/7/2022	10/14/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/9/2022	10/19/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/11/2016	6/15/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/11/2016	6/15/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/17/2023
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	11/7/2022
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	11/7/2022
Active	Reserve National Insurance Company	301073	Agent - Health	9/4/2025
Active	Standard Life and Casualty Insurance Company	301699	Agent - Health	11/17/2023
Active	Tier One Insurance Company	301056	Agent - Health	4/23/2025
Active	Tier One Insurance Company	301056	Agent - Life	4/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/12/2016	6/15/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/12/2016	6/15/2023