DEPARTMENT OF INSURANCE

Affiliations

Name	Gay, Samuel W	DOIID	1165151	NAIC NPN	20080310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/8/2021		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	11/1/2021	3/4/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/16/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/1/2021	3/4/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/16/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	10/16/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/28/2023	6/27/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/28/2023	6/27/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/28/2023	6/27/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/24/2024	6/28/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/8/2023	6/25/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/28/2023	6/27/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/1/2021	3/4/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/14/2022	12/13/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/25/2024	6/28/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/8/2022	3/3/2023
Inactive	Humana Insurance Company	301104	Agent - Health	8/9/2023	6/28/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/16/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/8/2023	6/25/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/8/2023	6/25/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/1/2022	6/5/2023

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	10/19/2022	2/27/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	3/2/2023