DEPARTMENT OF INSURANCE
Affiliations
NameSams, Jeffrey DDOIID374694NAIC NPN719135
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/31/1997 12/31/2025
ActiveNon ResidentAgentLife12/31/1997 12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
InactiveAetna Health Inc. (PA)660717Agent - Health9/25/20133/21/2025
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/24/20203/21/2025
InactiveAetna Life Insurance Company301140Agent - Health9/25/20133/21/2025
InactiveAetna Life Insurance Company301140Agent - Life9/25/20133/21/2025
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/27/20214/30/2021
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/23/2021 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/23/2021 
InactiveAmerican General Life Insurance Company301585Agent - Health6/18/200310/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Life6/18/200310/25/2012
InactiveAmerican National Insurance Company301861Agent - Health10/21/20036/10/2021
ActiveAmerican National Insurance Company301861Agent - Life10/21/2003 
InactiveAmerican National Life Insurance Company of Texas300912Agent - Health5/9/200611/22/2010
InactiveAmerican National Life Insurance Company of Texas300912Agent - Life5/9/200611/22/2010
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/22/2019 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/2021 
InactiveArcadian Health Plan, Inc.728196Agent - Health9/14/20184/29/2019
ActiveBankers Fidelity Assurance Company554627Agent - Health8/29/2016 
ActiveBankers Fidelity Assurance Company554627Agent - Life8/29/2016 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health8/29/2016 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life8/29/2016 
InactiveCSI Life Insurance Company596032Agent - Health12/9/201510/7/2020
InactiveCSI Life Insurance Company596032Agent - Life4/23/20134/17/2015
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
InactiveCentral States Health and Life Company of Omaha301874Agent - Health11/25/20203/12/2025
InactiveCentral States Indemnity Company of Omaha300285Agent - Health3/6/20138/13/2018
InactiveChesapeake Life Insurance Company (The)301017Agent - Health2/19/200412/29/2008
InactiveChesapeake Life Insurance Company (The)301017Agent - Life2/19/200412/29/2008
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConseco Health Insurance Company301725Agent - Health3/7/20018/9/2004
InactiveConseco Health Insurance Company301725Agent - Life3/7/20018/9/2004
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
InactiveCoventry Health and Life Insurance Company301771Agent - Health7/25/20083/21/2025
InactiveEverest Reinsurance Company301836Agent - Health1/11/20196/28/2019
InactiveFamily Life Insurance Company300356Agent - Health6/3/20099/26/2016
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life4/9/20148/27/2014
InactiveFirst Colony Life Insurance Company301179Agent - Health10/3/20031/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life10/3/20031/1/2007
InactiveFirst Health Life & Health Insurance Company301735Agent - Health10/23/20083/21/2025
InactiveGenworth Life Insurance Company300623Agent - Health2/8/201112/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life2/8/201112/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/7/2012
ActiveGerber Life Insurance Company300529Agent - Health3/23/2023 
ActiveGerber Life Insurance Company300529Agent - Life3/23/2023 
InactiveGleaner Life Insurance Society689297Agent - Life8/16/201010/2/2017
InactiveGuarantee Trust Life Insurance Company301043Agent - Health2/20/202412/31/2024
InactiveGuarantee Trust Life Insurance Company301043Agent - Life2/20/202412/31/2024
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/14/20184/29/2019
InactiveHumana Insurance Company301104Agent - Health9/14/20184/29/2019
InactiveHumana Insurance Company301104Agent - Life9/14/20184/29/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health9/14/20184/29/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health9/14/20184/29/2019
InactiveIndependent Order of Foresters300743Agent - Life8/27/200912/23/2022
InactiveInvestors Heritage Life Insurance Company300363Agent - Life10/11/20181/27/2022
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/15/200212/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20086/8/2011
InactiveKSKJ Life775663Agent - Life2/6/20191/4/2024
InactiveLasso Healthcare Insurance Company1022651Agent - Health9/11/201912/30/2021
InactiveMedico Corp Life Insurance Company301777Agent - Health1/5/201510/27/2016
InactiveMedico Corp Life Insurance Company301777Agent - Life1/5/201510/27/2016
ActiveMedico Insurance Company301559Agent - Health6/20/2022 
ActiveMedico Insurance Company301559Agent - Life6/20/2022 
InactiveMutual of Omaha Insurance Company301012Agent - Health3/14/201112/26/2012
InactiveOmaha Insurance Company751908Agent - Health10/23/20129/23/2013
InactiveRoyal Neighbors of America301646Agent - Life4/30/200812/29/2014
InactiveS.USA Life Insurance Company, Inc.301774Agent - Health10/23/201712/30/2022
InactiveSILAC Insurance Company300535Agent - Health4/26/200211/5/2020
InactiveSILAC Insurance Company300535Agent - Life4/26/200211/5/2020
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health4/9/20019/17/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life4/9/20019/17/2003
ActiveSentinel Security Life Insurance Company935789Agent - Health2/21/2018 
ActiveSentinel Security Life Insurance Company935789Agent - Life2/21/2018 
InactiveSilverScript Insurance Company663526Agent - Health10/6/20153/21/2025
InactiveStandard Life and Accident Insurance Company301534Agent - Health12/31/199711/30/2022
InactiveStandard Life and Accident Insurance Company301534Agent - Life12/31/199711/30/2022
InactiveSterling Investors Life Insurance Company301785Agent - Health8/15/20053/5/2014
InactiveSterling Investors Life Insurance Company301785Agent - Life8/15/20053/5/2014
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/200511/10/2008
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life6/23/200310/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health6/23/200312/27/2006
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life6/23/200312/27/2006
ActiveUnited American Insurance Company300910Agent - Health6/8/2020 
ActiveUnited American Insurance Company300910Agent - Life6/8/2020 
InactiveUnited World Life Insurance Company300532Agent - Health8/18/200412/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health12/12/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life12/12/200812/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health10/25/2011 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/25/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/2015 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/20/201912/30/2021
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/20/2019 
InactiveWest Coast Life Insurance Company301607Agent - Health12/2/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life12/2/200911/16/2011
ActiveWestern United Life Insurance Company659052Agent - Health12/16/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health5/22/20192/11/2025
ActiveNew Horizons Insurance Marketing, LLC636965Agent - Life7/28/2006 
ActiveNew Horizons Insurance Marketing, LLC636965Agent - Health7/28/2006 

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