DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Coleman, Samuel Stevenson	DOIID	1085343	NAIC NPN	890231

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/3/2020	5/31/2023
Inactive	Non Resident	Agent	Life	6/3/2020	5/31/2023
* 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 - Life	8/11/2020	1/25/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/23/2020	5/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/11/2020	1/25/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	5/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/23/2020	5/31/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	8/11/2020	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/3/2020	11/20/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/3/2020	11/20/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/11/2020	1/25/2022
Inactive	Independence American Insurance Company	524747	Agent - Health	6/15/2020	12/18/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	6/15/2020	5/31/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/23/2020	5/31/2023

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	6/3/2020	11/20/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/16/2020	11/20/2020