DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harvey, Samuel	DOIID	1379673	NAIC NPN	21262675

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/9/2025		10/31/2026
Active	Non Resident	Agent	Health	1/9/2025		10/31/2026
* 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	United of Omaha Life Insurance Company	300156	Agent - Health	1/15/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/15/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Life	3/19/2025
Active	TZ Insurance Solutions LLC	727470	Agent - Health	3/19/2025