DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Samuels, Jessica	DOIID	1101705	NAIC NPN	19591544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/1/2020	11/30/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/6/2020	7/9/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/6/2020	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/6/2020	7/9/2021
Inactive	Humana Insurance Company	301104	Agent - Health	11/20/2020	2/3/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/6/2020	7/9/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2020	2/8/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/1/2020	2/8/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2020	2/8/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2020	2/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Red Ventures Ins LLC	794656	Agent - Health	10/6/2020	1/18/2021