DEPARTMENT OF INSURANCE
Affiliations
NameLee, Sammy KeithDOIID382501NAIC NPN7205685
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife12/5/2006 7/31/2026
ActiveResidentAgentHealth12/5/2006 7/31/2026
ActiveResidentAgentVariable Life and Variable Annuities12/5/2006 7/31/2026
InactiveResidentTemporary AgentOrdinary Life (Temporary Life)11/20/199712/4/1997 
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202407/31/202405/21/202405/21/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health1/12/201412/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Life1/12/201412/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities1/12/201412/23/2019
InactiveLincoln Benefit Life Company301110Agent - Health8/21/20097/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life8/21/20097/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities8/21/20097/14/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/29/200911/8/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/29/200911/8/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities9/29/200911/8/2018
ActiveMidland National Life Insurance Company300923Agent - Life8/5/2018 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities8/5/2018 
InactivePaul Revere Life Insurance Company300971Agent - Health12/31/199712/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life12/31/199712/11/2002
InactiveProtective Life Insurance Company300638Agent - Health4/16/202011/23/2021
InactiveProtective Life Insurance Company300638Agent - Life4/16/202011/23/2021
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/16/202011/23/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/30/199710/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/30/199710/24/2003
InactivePruco Life Insurance Company300954Agent - Health12/4/19972/3/1998
InactivePruco Life Insurance Company300954Agent - Life12/4/19972/3/1998
InactivePrudential Insurance Company of America300784Agent - Health12/4/19972/2/1998
InactivePrudential Insurance Company of America300784Agent - Life12/4/19972/2/1998
InactivePrudential Insurance Company of America300784Temporary Agent - Ordinary Life (Temporary Life)11/20/199712/4/1997
InactiveTalcott Resolution Life Insurance Company301759Agent - Health2/25/200911/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/25/200911/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities2/25/200911/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health2/25/200912/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life2/25/200912/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities2/25/200912/24/2015
DeniedWest Coast Life Insurance Company301607Agent - Life  
InactiveZurich American Life Insurance Company300216Agent - Life4/20/19991/6/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAvantax Insurance Agency, LLC398671Agent - Life6/24/2010 
InactiveAvantax Insurance Agency, LLC398671Agent - Health6/24/201012/23/2019
ActiveAvantax Insurance Agency, LLC398671Agent - Variable Life and Variable Annuities6/24/2010 
InactiveCommonwealth Investment Services Inc.400146Agent - Life12/28/19985/31/2004
InactiveCommonwealth Investment Services Inc.400146Agent - Health12/28/19985/31/2004
InactiveUnified Financial Securities, Inc.511454Agent - Life10/16/20005/31/2004
InactiveUnified Financial Securities, Inc.511454Agent - Health10/16/20005/31/2004
InactiveUnified Financial Securities, Inc.511454Agent - Variable Life and Variable Annuities9/11/20015/31/2004

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