DEPARTMENT OF INSURANCE
Affiliations
NameDrury, Samuel RDOIID368270NAIC NPN26211
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth3/25/19821/1/2020 
InactiveResidentAgentProperty6/26/20091/1/2020 
InactiveResidentAgentHealth Maintenance Organization10/11/19843/1/2001 
InactiveResidentAgentCasualty6/26/20091/1/2020 
InactiveResidentAgentLife3/25/19821/1/2020 
* 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
InactiveAetna Health Inc.300694Agent - Life4/19/200112/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health2/9/20124/24/2017
InactiveAetna Health Inc. (PA)660717Agent - Life12/31/20079/21/2010
InactiveAetna Life Insurance Company301140Agent - Health2/10/19934/24/2017
InactiveAetna Life Insurance Company301140Agent - Life2/10/19934/24/2017
InactiveAmerican General Life Insurance Company301585Agent - Health9/4/201111/17/2011
InactiveAmerican General Life Insurance Company301585Agent - Life9/4/201111/17/2011
InactiveAmerican United Life Insurance Company300498Agent - Health2/7/20001/1/2020
InactiveAmerican United Life Insurance Company300498Agent - Life2/7/20001/1/2020
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20014/1/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization5/4/19883/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health6/4/19932/11/2010
InactiveAnthem Life Insurance Company301209Agent - Life6/4/19932/11/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Health5/12/19923/31/1997
InactiveAthene Annuity & Life Assurance Company301798Agent - Life5/12/19923/31/1997
InactiveBanner Life Insurance Company301696Agent - Life9/15/20098/21/2014
InactiveBerkshire Life Insurance Company of America300983Agent - Health9/20/201112/21/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life9/20/201112/21/2011
InactiveBoston Mutual Life Insurance Company300143Agent - Health10/16/20007/22/2008
InactiveBoston Mutual Life Insurance Company300143Agent - Life10/16/20007/22/2008
InactiveBrighthouse Life Insurance Company301829Agent - Health11/14/20141/1/2020
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/20141/26/2018
InactiveClarica Life Insurance Company - U.S.300207Agent - Health7/20/19933/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life7/20/19933/31/1997
InactiveCompBenefits Dental, Inc.591692Agent - Health6/23/200812/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health6/23/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life6/23/20087/2/2013
InactiveCompDent Corporation301387Agent - Health3/31/200312/23/2004
InactiveConnecticut General Life Insurance Company301333Agent - Health4/22/19966/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life4/22/19966/11/2014
InactiveDearborn Life Insurance Company300401Agent - Health12/31/20048/27/2015
InactiveDearborn Life Insurance Company300401Agent - Life12/31/20048/27/2015
InactiveDental Care Plus Inc.301495Agent - Health12/26/20085/23/2019
InactiveDental Concern Inc. (The)301641Agent - Health1/5/20176/30/2017
InactiveFirst Colony Life Insurance Company301179Agent - Health8/3/20001/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life8/3/20001/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health7/18/200312/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life7/18/200312/23/2008
InactiveFresenius Health Plans Insurance Company300180Agent - Health1/23/19963/31/1999
InactiveFresenius Health Plans Insurance Company300180Agent - Life1/23/19963/31/1999
InactiveGeneral American Life Insurance Company300280Agent - Health5/31/19942/3/1998
InactiveGeneral American Life Insurance Company300280Agent - Life5/31/19942/3/1998
InactiveGenworth Life Insurance Company300623Agent - Health7/10/20039/23/2009
InactiveGenworth Life Insurance Company300623Agent - Life7/10/20039/23/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/7/2012
InactiveGuarantee Life Insurance Company301560Agent - Health5/5/19933/31/1997
InactiveGuarantee Life Insurance Company301560Agent - Life5/5/19933/31/1997
InactiveGuardian Life Insurance Company of America301316Agent - Health9/20/20111/1/2020
InactiveGuardian Life Insurance Company of America301316Agent - Life9/20/20111/1/2020
InactiveHartford Life Group Insurance Company301708Agent - Health4/6/200412/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life4/6/200412/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health9/3/20031/30/2012
InactiveHartford Life and Accident Insurance Company300878Agent - Life9/3/20031/30/2012
InactiveHumana Health Plan, Inc.300142Agent - Health1/5/20177/12/2018
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/11/19843/1/2001
InactiveHumana Insurance Company301104Agent - Health4/29/19987/12/2018
InactiveHumana Insurance Company301104Agent - Life4/29/19986/30/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/29/200412/13/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/200412/13/2016
InactiveHumanaDental Insurance Company301457Agent - Health6/23/20085/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life6/23/20085/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health5/28/200212/13/2005
InactiveIllinois Mutual Life Insurance Company301479Agent - Life5/28/200212/13/2005
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health6/27/20037/30/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life6/27/20037/30/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health6/27/20034/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life6/27/20034/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health3/25/19823/31/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life3/25/19823/31/1997
InactiveKanawha Insurance Company300127Agent - Health6/23/200812/5/2014
InactiveKanawha Insurance Company300127Agent - Life6/23/200812/5/2014
InactiveLafayette Life Insurance Company (The)301039Agent - Health11/18/19994/7/2004
InactiveLafayette Life Insurance Company (The)301039Agent - Life11/18/19994/7/2004
InactiveLife Insurance Company of North America300711Agent - Health5/7/20071/1/2020
InactiveLife Insurance Company of North America300711Agent - Life5/7/20071/1/2020
InactiveLife Investors Insurance Company of America301793Agent - Health2/5/19999/24/2008
InactiveLife Investors Insurance Company of America301793Agent - Life2/5/19999/24/2008
InactiveLincoln Benefit Life Company301110Agent - Health6/16/200311/21/2006
InactiveLincoln Benefit Life Company301110Agent - Life6/16/200311/21/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/17/19907/30/2007
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/17/19907/30/2007
InactiveMedical Life Insurance Company300693Agent - Health12/30/199612/31/2004
InactiveMedical Life Insurance Company300693Agent - Life12/30/199612/31/2004
InactiveMetLife Investors USA Insurance Company300845Agent - Health7/31/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life7/31/200911/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health11/30/200012/18/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life11/30/200012/18/2012
InactiveMidland Life Insurance Company (The)300310Agent - Life1/28/20003/31/2001
InactiveMutual of Omaha Insurance Company301012Agent - Health8/1/20037/7/2008
InactiveNassau Life Insurance Company301406Agent - Health11/3/19871/16/1996
InactiveNassau Life Insurance Company301406Agent - Life11/3/19871/16/1996
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health5/27/20101/1/2020
InactiveNippon Life Insurance Company of America300446Agent - Health6/25/19933/31/1997
InactiveNippon Life Insurance Company of America300446Agent - Life6/25/19933/31/1997
InactiveNorth American Company for Life and Health Insurance300291Agent - Health1/19/200110/18/2005
InactiveNorth American Company for Life and Health Insurance300291Agent - Life1/19/200110/18/2005
InactivePrincipal Life Insurance Company300129Agent - Health7/22/19941/1/2020
InactivePrincipal Life Insurance Company300129Agent - Life7/22/19941/1/2020
InactiveProtective Life Insurance Company300638Agent - Health2/23/199812/15/2003
InactiveProtective Life Insurance Company300638Agent - Life2/23/199812/15/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/15/199511/10/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/15/199511/10/2004
InactivePruco Life Insurance Company300954Agent - Health11/2/201012/23/2014
InactivePruco Life Insurance Company300954Agent - Life11/2/201012/23/2014
InactiveReassure America Life Insurance Company301902Agent - Health12/15/19971/3/2003
InactiveReassure America Life Insurance Company301902Agent - Life12/15/19971/3/2003
InactiveReliaStar Life Insurance Company301712Agent - Life7/16/200310/31/2004
InactiveReliance Standard Life Insurance Company300584Agent - Health12/25/20101/1/2020
InactiveReliance Standard Life Insurance Company300584Agent - Life12/25/20101/1/2020
InactiveSecurity Life Insurance Company of America300936Agent - Health2/26/200112/23/2002
InactiveSecurity Life Insurance Company of America300936Agent - Life2/26/200112/23/2002
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life7/12/200310/1/2003
InactiveSeeChange Health Insurance Company301115Agent - Health9/13/19883/31/1997
InactiveSeeChange Health Insurance Company301115Agent - Life9/13/19883/31/1997
InactiveShenandoah Life Insurance Company300130Agent - Health12/9/199812/19/2001
InactiveShenandoah Life Insurance Company300130Agent - Life12/9/199812/19/2001
InactiveStandard Insurance Company300185Agent - Health3/11/20031/1/2020
InactiveStandard Insurance Company300185Agent - Life3/11/20031/1/2020
InactiveState Life Insurance Company301497Agent - Health5/2/20015/15/2002
InactiveState Life Insurance Company301497Agent - Life5/2/20015/15/2002
InactiveTime Insurance Company300683Agent - Health1/6/20036/24/2004
InactiveTime Insurance Company300683Agent - Life1/6/20036/24/2004
InactiveTransamerica Life Insurance Company300571Agent - Health10/26/201012/15/2016
InactiveTransamerica Life Insurance Company300571Agent - Life10/26/201012/15/2016
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life5/30/19893/31/1997
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health11/14/19863/31/1997
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life11/14/19863/31/1997
InactiveTransamerica Premier Life Insurance Company300558Agent - Life8/8/20007/10/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Health5/7/20019/5/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life5/7/20019/5/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health4/18/198312/7/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life4/18/198312/7/2005
InactiveUnion Security Insurance Company301844Agent - Health10/1/199112/28/2007
InactiveUnion Security Insurance Company301844Agent - Life10/1/199112/28/2007
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health5/28/200212/28/2006
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health5/28/200212/28/2006
InactiveUnited of Omaha Life Insurance Company300156Agent - Health8/1/200312/20/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life8/1/200312/20/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/10/20063/1/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/10/20063/1/2012
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/10/20063/1/2012
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/10/20063/1/2012
InactiveWest Coast Life Insurance Company301607Agent - Life6/23/200312/30/2005
Inactive300277Agent - Life7/16/200312/28/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Life5/16/19942/28/2003
InactiveAcordia of Louisville Inc.401252Agent - Health5/16/19942/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Life11/22/19933/29/2011
InactiveArison Insurance Services, Inc.401001Agent - Health12/17/20093/29/2011
DeniedArison Insurance Services, Inc.401001Agent - Property  
DeniedArison Insurance Services, Inc.401001Agent - Casualty  
InactiveDental Choice Agency Inc.398085Agent - Health8/20/20101/1/2020
InactiveDesignated Agent Company Inc.681257Agent - Life12/13/201310/1/2018
InactiveDesignated Agent Company Inc.681257Agent - Health12/13/201310/1/2018
DeniedExecutive Insurance Agency Inc.398898Agent - Life  
DeniedExecutive Insurance Agency Inc.398898Agent - Health  
InactiveKiely Hines & Associates Insurance Agency Inc.399757Agent - Life9/15/201110/17/2013
InactiveKiely Hines & Associates Insurance Agency Inc.399757Agent - Health9/15/201110/17/2013
DeniedKiely Hines & Associates Insurance Agency Inc.399757Agent - Property  
DeniedKiely Hines & Associates Insurance Agency Inc.399757Agent - Casualty  
InactiveMedlink Inc400721Agent - Life11/17/20051/1/2020
InactiveMedlink Inc400721Agent - Health11/17/20051/1/2020
InactiveR.H. Clarkson Financial Services Inc.398870Agent - Life7/12/200712/11/2009
InactiveR.H. Clarkson Financial Services Inc.398870Agent - Health7/12/200712/11/2009
InactiveThompson Associates Inc.398584Agent - Life5/3/199111/23/1998
InactiveThompson Associates Inc.398584Agent - Health5/3/199111/23/1998
InactiveWells Fargo Insurance Services Of Kentucky Inc399414Agent - Life11/20/20007/14/2008
InactiveWells Fargo Insurance Services Of Kentucky Inc399414Agent - Health11/20/20007/14/2008

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