DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Levine, Samuel	DOIID	1055721	NAIC NPN	19092518

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/11/2019	7/31/2022
* 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	Brighthouse Life Insurance Company	301829	Agent - Life	10/21/2020	1/12/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/21/2019	2/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Policygenius LLC	874468	Agent - Life	8/25/2021	2/15/2022