DEPARTMENT OF INSURANCE
Affiliations
NameSams, Keith RonaldDOIID358003NAIC NPN1759917
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/2/1994 4/30/2026
ActiveNon ResidentAgentLife3/2/1994 4/30/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities5/31/2001 4/30/2026
InactiveNon ResidentAgentHealth Maintenance Organization2/24/19923/1/2001 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health3/2/19944/9/2004
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/31/20223/4/2025
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/21/20222/26/2025
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health5/9/20005/24/2006
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life5/9/20005/24/2006
InactiveDelaware Life Insurance Company301256Agent - Life4/23/200111/24/2010
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities5/31/200111/24/2010
InactiveEquitable Financial Life Insurance Company300808Agent - Life5/4/200011/7/2012
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities6/25/200111/7/2012
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/22/20223/22/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/22/20223/22/2023
InactiveEverlake Life Insurance Company300873Agent - Life5/18/20048/17/2009
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities5/18/20048/17/2009
ActiveForethought Life Insurance Company301407Agent - Life1/26/2024 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life2/27/2018 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities2/27/2018 
ActiveIntegrity Life Insurance Company301687Agent - Life2/18/2009 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities2/18/2009 
InactiveJackson National Life Insurance Company300486Agent - Life8/26/201011/10/2020
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/26/201011/10/2020
InactiveJohn Hancock Life Insurance Company300821Agent - Health9/11/20017/19/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life9/11/20017/19/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities9/11/20017/19/2008
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/7/20104/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/5/20054/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities5/5/200512/13/2013
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health9/11/200112/12/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life9/11/200112/12/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities9/11/200112/20/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health11/24/19995/28/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Life11/24/19995/28/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/31/20015/28/2024
InactiveMetLife Investors USA Insurance Company300845Agent - Health2/17/201111/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/17/201111/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities2/17/201111/14/2014
ActiveMidland National Life Insurance Company300923Agent - Life4/22/2024 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities4/22/2024 
InactiveNationwide Life Insurance Company300495Agent - Health6/22/202312/18/2024
InactiveNationwide Life Insurance Company300495Agent - Life6/22/202312/18/2024
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities6/22/202312/18/2024
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health2/2/202312/18/2024
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life2/2/202312/18/2024
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities2/2/202312/18/2024
InactivePacifiCare Life Assurance Company301082Agent - Health6/19/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/19/19987/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health3/1/20013/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health Maintenance Organization2/24/19923/1/2001
ActivePacific Life Insurance Company301848Agent - Life1/23/2018 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities1/23/2018 
InactivePrincipal Life Insurance Company300129Agent - Health11/13/200111/25/2009
InactivePrincipal Life Insurance Company300129Agent - Life11/13/200111/25/2009
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities11/13/200111/25/2009
ActivePrincipal National Life Insurance Company301926Agent - Life12/21/2021 
ActivePrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities12/21/2021 
InactiveProtective Life Insurance Company300638Agent - Health5/9/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Life5/9/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities5/9/202111/23/2023
InactivePruco Life Insurance Company300954Agent - Health5/14/201012/23/2024
InactivePruco Life Insurance Company300954Agent - Life5/14/201012/23/2024
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/14/201012/23/2024
ActiveStandard Insurance Company300185Agent - Health9/27/2012 
ActiveStandard Insurance Company300185Agent - Life9/27/2012 
ActiveStandard Insurance Company300185Agent - Variable Life and Variable Annuities9/27/2012 
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities5/31/200112/13/2010
InactiveSunAmerica Life Insurance Company300096Agent - Life5/23/20003/31/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Health1/19/200011/18/2014
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/2/199911/18/2014
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/31/200111/18/2014
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health1/19/200011/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/2/199911/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/31/200111/16/2011
ActiveTransamerica Life Insurance Company300571Agent - Life8/18/2017 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities8/18/2017 
InactiveVenerable Insurance and Annuity Company301006Agent - Health5/15/200012/15/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Life5/15/20008/27/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities5/31/20018/27/2008
InactiveWestern-Southern Life Assurance Company301590Agent - Health6/4/19996/7/2010
InactiveWestern-Southern Life Assurance Company301590Agent - Life6/4/19996/7/2010
InactiveZurich American Life Insurance Company300216Agent - Life4/15/20037/13/2011
InactiveZurich American Life Insurance Company300216Agent - Variable Life and Variable Annuities4/15/20037/13/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBaird Insurance Services Inc399048Agent - Life2/11/2005 
ActiveBaird Insurance Services Inc399048Agent - Health3/19/2010 
ActiveBaird Insurance Services Inc399048Agent - Variable Life and Variable Annuities2/11/2005 

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