DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carson, Samuel	DOIID	1229815	NAIC NPN	20388183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/13/2022		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/18/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/18/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	4/18/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/13/2022	10/6/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/13/2022	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/13/2022	10/6/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/13/2022	10/6/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/18/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2023	10/28/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/11/2024	7/8/2025