DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fresno, Samantha Grecia	DOIID	1295099	NAIC NPN	20671798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2023		4/30/2026
Active	Non Resident	Agent	Life	10/16/2023		4/30/2026
* 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	9/6/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/6/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/6/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/26/2023	6/24/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/26/2023	6/24/2025
Active	CMFG Life Insurance Company	300929	Agent - Life	2/23/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/6/2023
Inactive	Tier One Insurance Company	301056	Agent - Health	6/8/2024	6/20/2025
Inactive	Tier One Insurance Company	301056	Agent - Life	6/8/2024	6/20/2025
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/7/2023	1/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Health	10/20/2023
Active	Sutherland Global Services Inc	601788	Agent - Life	10/26/2023