DEPARTMENT OF INSURANCE
Affiliations
NameGutierrez, Samantha RaeDOIID1175959NAIC NPN20121830
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/8/2021 8/31/2025
ActiveNon ResidentAgentLife12/8/2021 8/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities12/8/2021 8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFidelity Investments Life Insurance Company300620Agent - Life12/15/20211/22/2025
InactiveFidelity Investments Life Insurance Company300620Agent - Variable Life and Variable Annuities12/15/20211/22/2025
ActiveUSAA Life Insurance Company300734Agent - Life12/15/2021 
ActiveWestern-Southern Life Assurance Company301590Agent - Life12/23/2021 
ActiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities12/23/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFidelity Insurance Agency Inc.400221Agent - Life12/21/2021 
DeniedFidelity Insurance Agency Inc.400221Agent - Health  
ActiveFidelity Insurance Agency Inc.400221Agent - Variable Life and Variable Annuities12/21/2021 

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