DEPARTMENT OF INSURANCE
Affiliations
NameSam, Raya TDOIID1137753NAIC NPN19929107
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/3/2021 7/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health11/10/202111/17/2023
ActiveAetna Health Inc. (PA)660717Agent - Health9/27/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health6/14/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/27/2021 
ActiveAetna Life Insurance Company301140Agent - Health9/27/2021 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/3/20215/13/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/20215/13/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/20215/13/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20222/21/2023
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/20215/13/2024
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/14/2021 
InactiveHumana Insurance Company301104Agent - Health11/10/202112/12/2024
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/21/202110/25/2022
ActiveSilverScript Insurance Company663526Agent - Health9/27/2021 
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/21/20212/21/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/21/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/21/202112/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/21/20212/21/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/20216/2/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveeHealthInsurance Services Inc.514105Agent - Health6/3/2021 

© Commonwealth of Kentucky. All rights reserved.