DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perley, Samuel Austin	DOIID	1143290	NAIC NPN	19816832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	7/6/2021		4/30/2027
Pending Replacement	Non Resident	Agent	Health	7/6/2021		4/30/2027
* 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
Pending Replacement	Freedom Life Insurance Company of America	300074	Agent - Health	7/9/2021
Pending Replacement	Freedom Life Insurance Company of America	300074	Agent - Life	7/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Ushealth Advisors Llc	713288	Agent - Life	7/9/2021
Pending Replacement	Ushealth Advisors Llc	713288	Agent - Health	7/9/2021