PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameKhalajabadi, Samantha DOIID1184626NAIC NPN19758321
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth1/25/2022 5/31/2025
Pending ReplacementNon ResidentAgentCasualty2/13/2024 5/31/2025
Pending ReplacementNon ResidentAgentLife1/25/2022 5/31/2025
Pending ReplacementNon ResidentAgentProperty2/13/2024 5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/19/202211/17/2023
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health8/31/2022 
Pending ReplacementAetna Health and Life Insurance Company300523Agent - Health9/19/2022 
InactiveAetna Health of Ohio Inc.1065035Agent - Health8/31/20224/23/2024
Pending ReplacementAetna Life Insurance Company301140Agent - Health8/31/2022 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health1/31/20224/5/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life1/31/20224/5/2022
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/9/202310/25/2023
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health3/9/202310/25/2023
InactiveAnthem Insurance Companies, Inc.300941Agent - Health3/9/202310/25/2023
InactiveCIGNA Health & Life Insurance Company301783Agent - Health9/20/20225/5/2023
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/25/20222/2/2023
InactiveCompcare Health Services Insurance Corporation948751Agent - Health3/9/202310/25/2023
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/19/2022 
Pending ReplacementFirst Health Life & Health Insurance Company301735Agent - Health9/2/2022 
InactiveLoyal American Life Insurance Company301172Agent - Health9/18/20222/5/2023
InactiveMetropolitan Life Insurance Company301948Agent - Health10/25/20222/2/2023
InactiveNational General Insurance Company300152Agent - Casualty2/15/20243/18/2024
InactiveNational General Insurance Company300152Agent - Property2/15/20243/18/2024
InactiveSilverScript Insurance Company663526Agent - Health8/31/20224/23/2024
Pending ReplacementTransamerica Life Insurance Company300571Agent - Health9/13/2022 
Pending ReplacementTransamerica Life Insurance Company300571Agent - Life9/13/2022 
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/25/20222/2/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/25/202212/22/2022
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/25/20222/2/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health8/20/20245/5/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health8/20/20245/5/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAffinity Brokerage, LLC544886Agent - Casualty2/15/20243/18/2024
InactiveAffinity Brokerage, LLC544886Agent - Property2/15/20243/18/2024
InactiveAlight Health Market Insurance Solutions Inc643602Agent - Health8/16/20221/11/2024
InactiveDirect General Insurance Agency Inc1018980Agent - Casualty2/15/20243/18/2024
InactiveDirect General Insurance Agency Inc1018980Agent - Property2/15/20243/18/2024
InactiveNational General Ins Marketing Inc621228Agent - Casualty2/15/20243/18/2024
InactiveNational General Ins Marketing Inc621228Agent - Property2/15/20243/18/2024
InactiveSutherland Global Services Inc601788Agent - Life1/31/20224/5/2022
InactiveSutherland Global Services Inc601788Agent - Health1/31/20224/5/2022

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