DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Samuel, Jateya Arlette Elaine	DOIID	1289603	NAIC NPN	20772245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/3/2023		11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	8/30/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/3/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/30/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	8/30/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/3/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/12/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	1/13/2025
Active	SilverScript Insurance Company	663526	Agent - Health	8/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	8/30/2023	3/31/2024