DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bracey, Samantha M	DOIID	1146661	NAIC NPN	19502590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/23/2021	3/8/2024
* 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	9/26/2023	3/8/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2023	3/8/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/26/2023	3/8/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/29/2021	1/13/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	1/13/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	1/13/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	1/13/2023
Inactive	Humana Insurance Company	301104	Agent - Health	10/31/2023	3/8/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/1/2023	3/8/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/12/2023	3/8/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/26/2023	3/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/18/2022	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023