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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2026	11/30/2026

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	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
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/13/2025	6/10/2025
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