DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Samantha	DOIID	1142149	NAIC NPN	19894516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/28/2021		10/31/2025
Active	Non Resident	Agent	Life	6/28/2021		10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

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	11/2/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	7/9/2021	11/2/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/9/2021	11/2/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	8/16/2021	2/5/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/9/2021	11/2/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/9/2021	11/2/2022
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	11/3/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/16/2021	11/3/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/27/2023	4/16/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/30/2021	11/2/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/30/2021	5/6/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/30/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/30/2021	5/6/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	7/28/2021	6/30/2022
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	7/28/2021	6/30/2022