DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Samantha	DOIID	1346900	NAIC NPN	21230821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement CE Compliance	Resident	Agent	Health	7/17/2024
Pending Replacement CE Compliance	Resident	Agent	Life	7/17/2024
Withdrawn	Resident	Agent	Property
Withdrawn	Resident	Agent	Casualty
* 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	11/15/2025	01/31/2026	11/18/2025	11/18/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	All Savers Insurance Company	301940	Agent - Health	5/19/2025
Pending Replacement	All Savers Insurance Company	301940	Agent - Life	5/19/2025
Pending Replacement	American United Life Insurance Company	300498	Agent - Health	5/7/2025
Pending Replacement	American United Life Insurance Company	300498	Agent - Life	5/7/2025
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/13/2024
Pending Replacement	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/13/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/13/2024	4/15/2025
Pending Replacement	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/13/2024
Pending Replacement	Principal Life Insurance Company	300129	Agent - Health	12/6/2024
Pending Replacement	Principal Life Insurance Company	300129	Agent - Life	12/6/2024
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	5/19/2025
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Life	5/19/2025
Pending Replacement	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/19/2025
Pending Replacement	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/19/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Assuredpartners NL, LLC	762387	Agent - Health	10/13/2024
Pending Replacement	Assuredpartners NL, LLC	762387	Agent - Life	10/13/2024