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.

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
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/19/2024
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