DEPARTMENT OF INSURANCE
Affiliations
NameSamuel, Raymond J.DOIID308508NAIC NPN931237
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/27/19911/31/2019 
InactiveNon ResidentAgentHealth9/27/19911/31/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveColonial Life and Accident Insurance Company300846Agent - Health3/14/19951/31/2019
InactiveColonial Life and Accident Insurance Company300846Agent - Life3/14/19951/31/2019
InactiveMetLife Investors USA Insurance Company300845Agent - Health6/11/200811/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life6/11/200811/14/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health4/16/20082/10/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life4/16/20082/10/2012
InactivePrincipal Life Insurance Company300129Agent - Health9/27/199111/25/2009
InactivePrincipal Life Insurance Company300129Agent - Life9/27/199111/25/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/29/20081/31/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/29/20081/31/2019
InactiveUNUM Life Insurance Company of America300817Agent - Health2/29/20081/31/2019
InactiveUNUM Life Insurance Company of America300817Agent - Life2/29/20081/31/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLockton Companies Inc.398333Agent - Life3/29/20022/24/2009
InactiveLockton Companies Inc.398333Agent - Health7/6/20012/24/2009
InactiveLockton Companies LLC621496Agent - Life4/13/20061/31/2019
InactiveLockton Companies LLC621496Agent - Health4/13/20061/31/2019

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