DEPARTMENT OF INSURANCE

Affiliations

Name	Fleet, Samuel H	DOIID	374087	NAIC NPN	61040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	1/11/2005		2/28/2025
Active	Non Resident	Agent	Life	2/21/1997		2/28/2025
Active	Non Resident	Agent	Health	2/21/1997		2/28/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	7/11/1997	12/1/2000
* 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
Inactive	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	7/11/1997	12/1/2000
Inactive	Aetna Health Inc.	300694	Agent - Health	8/25/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/25/2006	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/25/2006	7/8/2021
Active	American General Life Insurance Company	301585	Agent - Health	11/26/2019
Active	American General Life Insurance Company	301585	Agent - Life	11/26/2019
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/29/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/29/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	11/29/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	11/29/2023
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	5/31/2002	8/29/2003
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/13/2001	11/22/2008
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	8/21/2001	3/31/2019
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	4/4/2013
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	4/4/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/22/2004	3/20/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/22/2004	3/20/2006
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/21/2013	3/14/2019
Active	Companion Life Insurance Company	300191	Agent - Health	1/29/2009
Active	Companion Life Insurance Company	300191	Agent - Life	1/29/2009
Inactive	Continental American Insurance Company	301700	Agent - Health	9/10/2007	10/20/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	9/10/2007	10/20/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/21/2013	12/19/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/13/2011	7/8/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/12/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/12/2010	12/26/2012
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/16/2004
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/16/2004
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/10/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/21/2013	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	4/10/2014	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	4/10/2014	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/10/2014	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/10/2014	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/25/2011	8/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/25/2011	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/21/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/21/2013	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/8/2014	5/20/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/8/2014	5/20/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/1/2010	5/26/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/1/2010	5/26/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/16/2010	12/26/2012
Inactive	NOVA Casualty Company	622806	Agent - Health	4/2/2009	2/13/2012
Active	New York Life Insurance Company	300431	Agent - Health	6/23/2006
Active	New York Life Insurance Company	300431	Agent - Life	6/23/2006
Inactive	Omaha Insurance Company	751908	Agent - Health	4/17/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/2/2011	11/3/2011
Inactive	Security Life Insurance Company of America	300936	Agent - Health	7/27/2006	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	7/27/2006	12/31/2016
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	6/16/2014	1/26/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	10/20/2011	8/26/2016
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	3/17/2010	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	3/17/2010	10/1/2015
Inactive	Time Insurance Company	300683	Agent - Health	4/2/2002	3/1/2007
Inactive	Time Insurance Company	300683	Agent - Life	4/2/2002	3/1/2007
Inactive	Transamerica Assurance Company	300893	Agent - Health	2/17/2004	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	2/17/2004	10/1/2004
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/15/2008
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/15/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/16/2001	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/16/2001	10/1/2020
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	12/1/2012	11/24/2015
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	12/1/2012	11/24/2015
Active	United American Insurance Company	300910	Agent - Health	9/6/2012
Active	United American Insurance Company	300910	Agent - Life	9/6/2012
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	3/25/2008
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	3/25/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/16/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/16/2010	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/2/2011	1/26/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/28/2002	11/21/2005
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	1/26/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/28/2002	11/21/2005
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/2/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	1/26/2018
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	2/14/2002	3/16/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	2/14/2002	3/16/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	3/10/1997	12/10/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	3/10/1997	12/10/2001
Active	AmWINS Group Benefits, LLC	521331	Agent - Life	5/10/2004
Active	AmWINS Group Benefits, LLC	521331	Agent - Health	5/10/2004
Active	AmWINS Group Benefits, LLC	521331	Administrator - Not Applicable	1/11/2005
Active	AmWINS Group Benefits, LLC	521331	Administrator - Not Applicable	12/21/2016
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/30/1999	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/30/1999	6/21/2008