DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Butler, Samantha Lynn	DOIID	367683	NAIC NPN	7199169

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/31/1999	10/4/2000
Inactive	Resident	Agent	Health	3/31/1999	10/4/2000
* 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
Denied	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health
Denied	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	3/31/1999	10/4/2000
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	3/31/1999	10/4/2000
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	5/4/1999	10/4/2000
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	3/21/2000	10/4/2000
Inactive	Pacific Life Insurance Company	301848	Agent - Life	1/31/2000	10/4/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	4/29/1999	9/11/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/22/1999	10/4/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/22/1999	10/4/2000
Inactive	Peel & Holland Security Planning Inc.	398597	Agent - Life	4/5/1999	7/13/2000
Inactive	Peel & Holland Security Planning Inc.	398597	Agent - Health	4/5/1999	7/13/2000