DEPARTMENT OF INSURANCE

Affiliations

Name	Holmes, Samuel Henry	DOIID	1071125	NAIC NPN	18753920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/17/2020	6/30/2026
Active	Non Resident	Agent	Life	1/17/2020	6/30/2026
* 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	04/15/2024	06/30/2024	04/22/2024	04/22/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	7/20/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/28/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/20/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Life	1/28/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	7/20/2020	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/8/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/21/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	12/21/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	12/21/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/17/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/21/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/20/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/16/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/12/2021	12/13/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/2/2021
Active	SilverScript Insurance Company	663526	Agent - Health	1/28/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/16/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/16/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/16/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/16/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/30/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	3/24/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	3/24/2020
Active	Healthcompare Ins Services Inc	708319	Agent - Life	1/28/2020
Active	Healthcompare Ins Services Inc	708319	Agent - Health	1/28/2020