DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Samantha Leigh	DOIID	1232018	NAIC NPN	20462813

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/23/2022		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	10/6/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/6/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	10/6/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/17/2022	1/13/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/17/2022	1/13/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/17/2022	1/13/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/17/2022	1/13/2023
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	10/6/2022

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	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023