DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Samantha	DOIID	1068028	NAIC NPN	16986447

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/12/2019	10/31/2025
Active	Non Resident	Agent	Property	12/12/2019	10/31/2025
Active	Non Resident	Agent	Health	12/12/2019	10/31/2025
Active	Non Resident	Agent	Casualty	12/12/2019	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	9/13/2022	5/30/2024
Inactive	AAA Life Insurance Company	300287	Agent - Life	9/13/2022	5/30/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/31/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/31/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/31/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/11/2020	6/1/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/11/2020	6/1/2024
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	12/14/2019	5/25/2024
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	12/14/2019	5/25/2024
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	12/14/2019	5/25/2024
Inactive	CSAA General Insurance Company	606675	Agent - Property	12/14/2019	5/25/2024
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	4/23/2020	6/14/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	4/23/2020	6/14/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	5/5/2020	12/29/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	5/5/2020	12/29/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/5/2020	6/1/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/5/2020	6/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/11/2020	6/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/11/2020	6/1/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/16/2020	11/25/2020
Active	SilverScript Insurance Company	663526	Agent - Health	10/31/2020
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/16/2021	5/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/16/2021	5/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	3/16/2021	5/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	3/16/2021	5/23/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/17/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/17/2020	12/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	1/22/2020	6/14/2024
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Life
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Health
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	1/22/2020	6/14/2024