DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Samuel Lee	DOIID	1087197	NAIC NPN	19552976

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/24/2020	8/16/2022
Inactive	Non Resident	Agent	Life	6/24/2020	8/16/2022
* 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	Accendo Insurance Company	300312	Agent - Life	10/22/2020	8/16/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/22/2020	8/16/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	10/22/2020	8/11/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/10/2021	4/23/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/22/2020	7/9/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/22/2020	8/16/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/21/2020	8/16/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/21/2020	8/16/2022
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	4/23/2021	11/30/2021
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	4/23/2021	11/30/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/17/2020	8/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	8/21/2020	9/21/2021
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	8/21/2020	9/21/2021