DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sith, Samnang	DOIID	1319912	NAIC NPN	6796345

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/19/2024		12/31/2025
Active	Non Resident	Agent	Life	1/19/2024		12/31/2025
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	10/11/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/23/2024
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	1/23/2024
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	1/23/2024