DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Madsen, Samuel D	DOIID	1011608	NAIC NPN	18919898

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/25/2018	5/31/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	1/24/2019	5/31/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/10/2019	5/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/24/2019	5/31/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/16/2018	6/18/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/10/2019	5/31/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/5/2018	3/28/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2018	3/28/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/22/2019	3/28/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/19/2019	3/29/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/12/2018	3/27/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	11/12/2018	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/12/2018	3/27/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/12/2018	3/27/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/17/2018	5/31/2020
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	10/16/2018	2/27/2019