DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jean-Baptiste, Samantha	DOIID	1361596	NAIC NPN	21247002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/13/2024		8/31/2026
Pending Replacement	Non Resident	Agent	Life	9/13/2024		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/10/2026	8/31/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/10/2026	8/31/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/20/2025	8/21/2026
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	9/18/2024	6/18/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	9/18/2024	6/18/2025
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/6/2025	8/25/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/10/2026	8/31/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/20/2025	8/21/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/20/2025	8/21/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	9/18/2024	6/18/2025
Inactive	Ushealth Advisors Llc	713288	Agent - Health	9/18/2024	6/18/2025