DEPARTMENT OF INSURANCE
Affiliations
NameSampson, Ernest AubreyDOIID337373NAIC NPN128175
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdministratorNot Applicable2/25/19999/27/2000 
ActiveNon ResidentAgentVariable Life and Variable Annuities3/12/2001 6/30/2026
ActiveNon ResidentAgentLife10/30/2000 6/30/2026
ActiveNon ResidentAgentHealth10/30/2000 6/30/2026
InactiveNon ResidentAgentHealth Maintenance Organization11/15/19987/24/2000 
InactiveNon ResidentLife & Health ConsultantNot Applicable12/19/19949/27/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202406/30/202404/23/202404/23/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health11/10/200912/6/2011
InactiveAetna Life Insurance Company301140Agent - Health11/10/200912/6/2011
InactiveAllianz Life Insurance Company of North America301791Agent - Health9/3/20021/29/2010
ActiveAllianz Life Insurance Company of North America301791Agent - Life6/1/2020 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/1/2020 
ActiveAmerican General Life Insurance Company301585Agent - Health12/3/2019 
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2012 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/2012 
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health3/12/200712/27/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life3/12/200712/27/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Variable Life and Variable Annuities3/12/200712/27/2012
ActiveAmerican United Life Insurance Company300498Agent - Health2/16/2001 
ActiveAmerican United Life Insurance Company300498Agent - Life2/16/2001 
ActiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities11/29/2001 
InactiveAmeritas Life Insurance Corporation300126Agent - Health12/13/201812/29/2020
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/13/201812/29/2020
InactiveAthene Annuity and Life Company301893Agent - Health10/1/20081/5/2011
InactiveAthene Annuity and Life Company301893Agent - Life10/1/20081/5/2011
InactiveAviva Life Insurance Company301615Agent - Health8/31/200610/1/2008
InactiveAviva Life Insurance Company301615Agent - Life8/31/200610/1/2008
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/11/200410/12/2020
ActiveBrighthouse Life Insurance Company301829Agent - Health2/29/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Life2/29/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities2/29/2016 
InactiveC.M. Life Insurance Company301335Agent - Health5/11/20067/19/2006
InactiveC.M. Life Insurance Company301335Agent - Life5/11/20067/19/2006
ActiveCMFG Life Insurance Company300929Agent - Health5/29/2019 
ActiveCMFG Life Insurance Company300929Agent - Life5/29/2019 
ActiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities5/29/2019 
InactiveCentre Life Insurance Company300341Agent - Health8/29/19953/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Health12/22/19923/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life12/22/19923/31/1997
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health12/27/19999/27/2000
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life12/27/19999/27/2000
DeniedCommonwealth Annuity and Life Insurance Company300798Agent - Variable Life and Variable Annuities  
InactiveCompBenefits Dental, Inc.591692Agent - Health5/27/201512/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health1/7/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life1/7/20097/2/2013
InactiveContinental Casualty Company301019Agent - Health8/1/200211/29/2004
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
InactiveDental Concern Inc. (The)301641Agent - Health5/3/201912/19/2019
ActiveEagle Life Insurance Company701261Agent - Life1/18/2023 
InactiveEquitable Financial Life Insurance Company300808Agent - Life8/7/200611/7/2012
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities6/29/2023 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities6/29/2023 
InactiveFirst Colony Life Insurance Company301179Agent - Life11/3/20051/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health10/3/19979/7/2000
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life10/3/19979/7/2000
ActiveFortitude Life Insurance & Annuity Company301503Agent - Health12/17/2004 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life12/17/2004 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities12/17/2004 
InactiveGenworth Life Insurance Company300623Agent - Health8/8/200712/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life8/8/200712/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200710/4/2009
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life10/19/201010/5/2021
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities10/19/201010/5/2021
ActiveGuardian Life Insurance Company of America301316Agent - Health8/11/2004 
ActiveHartford Life and Accident Insurance Company300878Agent - Health8/9/2004 
ActiveHartford Life and Accident Insurance Company300878Agent - Life8/9/2004 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health Maintenance Organization11/15/19982/6/1999
InactiveHumana Health Plan, Inc.300142Agent - Health5/3/201912/19/2019
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization12/31/19987/24/2000
InactiveHumana Insurance Company301104Agent - Health9/11/200612/13/2016
InactiveHumana Insurance Company301104Agent - Life9/11/200612/13/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/15/20066/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/3/201912/19/2019
InactiveHumanaDental Insurance Company301457Agent - Health9/11/20065/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life9/11/20065/13/2013
ActiveIntegrity Life Insurance Company301687Agent - Life12/15/2017 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities12/15/2017 
ActiveJackson National Life Insurance Company300486Agent - Life11/7/2013 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/7/2013 
InactiveJohn Hancock Life Insurance Company300821Agent - Health8/17/20056/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life8/17/20056/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities8/17/20056/7/2008
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health3/10/202210/8/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/10/202210/8/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities6/25/20014/18/2012
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life8/17/200512/12/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities8/17/200512/20/2006
InactiveKanawha Insurance Company300127Agent - Health5/27/20158/9/2018
InactiveKanawha Insurance Company300127Agent - Life5/27/20158/9/2018
InactiveLincoln Benefit Life Company301110Agent - Health2/3/19999/27/2000
InactiveLincoln Benefit Life Company301110Agent - Life2/3/19997/17/2000
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/3/2002 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/3/2002 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/3/2002 
ActiveMEMBERS Life Insurance Company301289Agent - Health12/2/2020 
ActiveMEMBERS Life Insurance Company301289Agent - Life12/2/2020 
ActiveMEMBERS Life Insurance Company301289Agent - Variable Life and Variable Annuities12/2/2020 
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life6/25/200112/31/2001
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Variable Life and Variable Annuities6/25/200112/31/2001
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health5/11/20067/19/2006
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life5/11/20067/19/2006
InactiveMetLife Investors USA Insurance Company300845Agent - Health7/24/20095/18/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Life7/24/20095/18/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities7/24/20095/18/2010
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health10/24/19958/17/2000
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life10/7/200512/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities2/3/200412/7/2007
ActiveMetropolitan Life Insurance Company301948Agent - Health6/2/2015 
ActiveMetropolitan Life Insurance Company301948Agent - Life6/2/2015 
InactiveMidland Life Insurance Company (The)300310Agent - Health2/21/20008/10/2000
InactiveMidland Life Insurance Company (The)300310Agent - Life2/21/20008/10/2000
ActiveMidland National Life Insurance Company300923Agent - Life11/11/2018 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities11/11/2018 
InactiveMinnesota Life Insurance Company300488Agent - Life3/16/20094/9/2024
DeniedNassau Life Insurance Company301406Agent - Health  
InactiveNassau Life Insurance Company301406Agent - Life8/27/200312/14/2004
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities8/27/200312/14/2004
InactiveNationwide Life Insurance Company300495Agent - Health2/1/201712/17/2020
InactiveNationwide Life Insurance Company300495Agent - Life2/1/201712/17/2020
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/1/201712/17/2020
InactiveNationwide Life Insurance Company of America301134Agent - Health10/30/200012/31/2009
InactiveNationwide Life Insurance Company of America301134Agent - Life10/30/200012/31/2009
InactiveNationwide Life Insurance Company of America301134Agent - Variable Life and Variable Annuities3/12/200112/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Health6/4/200112/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Life12/31/200912/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Variable Life and Variable Annuities6/4/200112/31/2009
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health3/18/2020 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life3/18/2020 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities3/18/2020 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life7/25/2019 
InactiveNorth American Company for Life and Health Insurance300291Agent - Life7/19/19933/31/1997
DeniedPHL Variable Insurance Company300525Agent - Health  
InactivePHL Variable Insurance Company300525Agent - Life8/27/200312/14/2004
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities8/27/200312/14/2004
ActivePacific Life Insurance Company301848Agent - Life4/22/2010 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities4/22/2010 
InactivePan-American Life Insurance Company301530Agent - Health7/28/19943/31/1997
InactivePan-American Life Insurance Company301530Agent - Life7/28/19943/31/1997
InactivePrincipal Life Insurance Company300129Agent - Health12/18/200612/8/2008
InactivePrincipal Life Insurance Company300129Agent - Life12/18/200612/8/2008
InactiveProtective Life Insurance Company300638Agent - Life1/1/200712/16/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/29/19919/27/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/29/19919/27/2000
ActivePruco Life Insurance Company300954Agent - Health3/2/2009 
ActivePruco Life Insurance Company300954Agent - Life3/2/2009 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/1/2010 
ActivePrudential Insurance Company of America300784Agent - Health3/1/2007 
ActivePrudential Insurance Company of America300784Agent - Life3/1/2007 
ActivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities3/1/2007 
InactiveReassure America Life Insurance Company301902Agent - Health1/11/19958/28/2000
InactiveReassure America Life Insurance Company301902Agent - Life1/11/19958/28/2000
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health11/24/19923/31/1997
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life11/24/19923/31/1997
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life11/14/200612/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities11/14/200612/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
ActiveSymetra Life Insurance Company301691Agent - Health10/12/2022 
ActiveSymetra Life Insurance Company301691Agent - Life10/12/2022 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities10/12/2022 
ActiveTalcott Resolution Life Insurance Company301759Agent - Health8/29/2007 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life8/29/2007 
ActiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities8/29/2007 
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health8/29/20079/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life8/29/20079/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities8/29/20079/27/2016
ActiveTransamerica Financial Life Insurance Company301288Agent - Health4/5/2010 
ActiveTransamerica Financial Life Insurance Company301288Agent - Life4/5/2010 
ActiveTransamerica Financial Life Insurance Company301288Agent - Variable Life and Variable Annuities4/5/2010 
InactiveTransamerica Life Insurance Company300571Agent - Health3/17/20092/12/2014
InactiveTransamerica Life Insurance Company300571Agent - Life3/17/20092/12/2014
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities3/17/2009 
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life12/3/19999/27/2000
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health9/17/19979/27/2000
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life9/17/19979/27/2000
InactiveUNUM Life Insurance Company of America300817Agent - Health4/15/19933/31/1997
InactiveUNUM Life Insurance Company of America300817Agent - Life4/15/19933/31/1997
InactiveUnion Central Life Insurance Company300307Agent - Health1/22/20023/19/2012
InactiveUnion Central Life Insurance Company300307Agent - Life1/22/20023/19/2012
InactiveUnion Central Life Insurance Company300307Agent - Variable Life and Variable Annuities1/6/20043/19/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/2/19939/27/2000
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/2/19937/31/2000
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/4/20198/31/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/4/20198/31/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/4/20198/31/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life6/4/20196/7/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/4/20198/31/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Life6/4/20196/7/2021
InactiveWest Coast Life Insurance Company301607Agent - Health3/14/20069/8/2009
InactiveWest Coast Life Insurance Company301607Agent - Life3/14/20069/8/2009
InactiveWestern National Life Insurance Company300461Agent - Life6/27/20023/3/2004
InactiveWilcac Life Insurance Company301573Agent - Health1/11/19959/27/2000
InactiveWilcac Life Insurance Company301573Agent - Life1/11/19959/27/2000
Inactive300277Agent - Life7/18/20061/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Life7/1/19939/27/2000
InactiveAcordia of Louisville Inc.401252Agent - Health7/1/19939/27/2000
InactiveAllegiant TPA Services LLC397895Administrator - Not Applicable2/25/19999/27/2000
ActiveCreative Benefits LLC513264Agent - Life7/25/2003 
ActiveCreative Benefits LLC513264Agent - Health7/25/2003 
ActiveDental Choice Agency Inc.398085Agent - Health12/22/2004 
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
ActiveKFG Enterprises, Inc.604126Agent - Life3/11/2005 
ActiveKFG Enterprises, Inc.604126Agent - Health3/11/2005 
ActiveKFG Enterprises, Inc.604126Agent - Variable Life and Variable Annuities12/17/2009 
ActiveKentucky Financial Group Inc.400432Agent - Life1/7/2004 
ActiveKentucky Financial Group Inc.400432Agent - Health1/7/2004 
InactiveLouisville Insurance Agency Inc.399228Agent - Life5/18/19929/27/2000
InactiveLouisville Insurance Agency Inc.399228Agent - Health5/18/19929/27/2000
InactiveLouisville Insurance Agency, Inc.560721Agent - Life12/9/20023/31/2006
InactiveLouisville Insurance Agency, Inc.560721Agent - Health12/9/20023/31/2006
InactiveMedlink Inc400721Agent - Life10/15/20043/31/2024
InactiveMedlink Inc400721Agent - Health10/15/20043/31/2024
InactiveNationwide Financial General Agency, Inc.399024Agent - Life5/16/19969/27/2000
InactiveNationwide Financial General Agency, Inc.399024Agent - Health5/16/19969/27/2000
ActivePrivate Client Services, LLC718426Agent - Life11/19/2009 
ActivePrivate Client Services, LLC718426Agent - Health11/19/2009 
ActivePrivate Client Services, LLC718426Agent - Variable Life and Variable Annuities11/19/2009 

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