DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marchaesi, Samuel John	DOIID	1001211	NAIC NPN	16134046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/16/2018	10/31/2019
Inactive	Non Resident	Agent	Health	7/16/2018	10/31/2019
* 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	Guardian Life Insurance Company of America	301316	Agent - Health	9/14/2018	10/31/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/14/2018	10/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	9/14/2018	10/31/2019
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	9/14/2018	10/31/2019