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DEPARTMENT OF INSURANCE
Affiliations
Name
Khalajabadi, Samantha
DOIID
1184626
NAIC NPN
19758321
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
1/25/2022
5/31/2025
Active
Non Resident
Agent
Casualty
2/13/2024
5/31/2025
Active
Non Resident
Agent
Health
1/25/2022
5/31/2025
Active
Non Resident
Agent
Property
2/13/2024
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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
03/15/2025
05/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Accendo Insurance Company
300312
Agent - Health
9/19/2022
11/17/2023
Active
Aetna Health Inc. (PA)
660717
Agent - Health
8/31/2022
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
9/19/2022
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
8/31/2022
4/23/2024
Active
Aetna Life Insurance Company
301140
Agent - Health
8/31/2022
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
1/31/2022
4/5/2022
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
1/31/2022
4/5/2022
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/9/2023
10/25/2023
Inactive
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
3/9/2023
10/25/2023
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
3/9/2023
10/25/2023
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
9/20/2022
5/5/2023
Inactive
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
8/25/2022
2/2/2023
Inactive
Compcare Health Services Insurance Corporation
948751
Agent - Health
3/9/2023
10/25/2023
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
9/19/2022
Active
First Health Life & Health Insurance Company
301735
Agent - Health
9/2/2022
Inactive
Loyal American Life Insurance Company
301172
Agent - Health
9/18/2022
2/5/2023
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
10/25/2022
2/2/2023
Inactive
National General Insurance Company
300152
Agent - Casualty
2/15/2024
3/18/2024
Inactive
National General Insurance Company
300152
Agent - Property
2/15/2024
3/18/2024
Inactive
SilverScript Insurance Company
663526
Agent - Health
8/31/2022
4/23/2024
Active
Transamerica Life Insurance Company
300571
Agent - Health
9/13/2022
Active
Transamerica Life Insurance Company
300571
Agent - Life
9/13/2022
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
8/25/2022
2/2/2023
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
8/25/2022
12/22/2022
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
8/25/2022
2/2/2023
Active
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
8/20/2024
Active
WellCare Prescription Insurance Inc.
654329
Agent - Health
8/20/2024
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Affinity Brokerage, LLC
544886
Agent - Casualty
2/15/2024
3/18/2024
Inactive
Affinity Brokerage, LLC
544886
Agent - Property
2/15/2024
3/18/2024
Inactive
Alight Health Market Insurance Solutions Inc
643602
Agent - Health
8/16/2022
1/11/2024
Inactive
Direct General Insurance Agency Inc
1018980
Agent - Casualty
2/15/2024
3/18/2024
Inactive
Direct General Insurance Agency Inc
1018980
Agent - Property
2/15/2024
3/18/2024
Inactive
National General Ins Marketing Inc
621228
Agent - Casualty
2/15/2024
3/18/2024
Inactive
National General Ins Marketing Inc
621228
Agent - Property
2/15/2024
3/18/2024
Inactive
Sutherland Global Services Inc
601788
Agent - Life
1/31/2022
4/5/2022
Inactive
Sutherland Global Services Inc
601788
Agent - Health
1/31/2022
4/5/2022
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