DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Merrill, Samuel	DOIID	1036195	NAIC NPN	18897949

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/10/2019		2/28/2026
Active	Non Resident	Agent	Health	4/10/2019		2/28/2026
* 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	12/15/2025	02/28/2026

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	10/18/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/18/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/18/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/26/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/26/2021	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/26/2021	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/18/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/17/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/18/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/18/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/4/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/4/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/18/2024

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 - Life	5/1/2019	5/22/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/1/2019	5/24/2021
Inactive	Gohealth LLC	691445	Agent - Health	2/19/2024	3/26/2024