DEPARTMENT OF INSURANCE

Affiliations

Name	Samsil & Holland, LLC	DOIID	510802	NAIC NPN	7223147

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/14/2000		3/31/2026
Active	Resident	Agent	Health	7/14/2000		3/31/2026
Active	Resident	Agent	Variable Life and Variable Annuities	9/6/2001		3/31/2026
Inactive	Resident	Agent	Prepaid Dental Plan	9/22/2000	3/1/2001
Inactive	Resident	Life & Health Consultant	Not Applicable	11/23/2010	4/5/2022
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc.	300694	Agent - Health	2/8/2001	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/11/2013
Active	Aetna Health Insurance Company	301583	Agent - Health	2/18/2013
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	7/26/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	2/18/2013
Active	Aetna Life Insurance Company	301140	Agent - Life	2/18/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/5/2002	8/15/2012
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/19/2012	12/27/2017
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	11/19/2012	12/27/2017
Inactive	AmFirst Insurance Company	999525	Agent - Health	7/9/2019	4/6/2021
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	7/15/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/6/2015	4/16/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/6/2015	4/16/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	1/18/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	1/18/2018
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	7/26/2007	11/9/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	6/28/2005	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	6/28/2005	12/31/2012
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/7/2008
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/7/2008
Inactive	American National Insurance Company	301861	Agent - Health	5/21/2003	6/1/2021
Active	American National Insurance Company	301861	Agent - Life	5/21/2003
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	10/14/2015	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	10/14/2015	12/21/2018
Active	American United Life Insurance Company	300498	Agent - Health	6/9/2004
Active	American United Life Insurance Company	300498	Agent - Life	6/9/2004
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	5/21/2015	10/26/2021
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	12/16/2010	12/6/2011
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2001	10/16/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	7/14/2000
Active	Anthem Life Insurance Company	301209	Agent - Life	7/14/2000
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/24/2012	12/9/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/24/2012	12/9/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/22/2001	8/13/2015
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/22/2001	8/13/2015
Inactive	Athene Annuity and Life Company	301893	Agent - Life	8/2/2018	12/1/2021
Active	Banner Life Insurance Company	301696	Agent - Life	8/30/2012
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	11/5/2002	3/31/2019
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/1/2005	9/13/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/1/2005	9/13/2013
Active	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	1/26/2018
Inactive	C.M. Life Insurance Company	301335	Agent - Health	8/15/2002	9/21/2015
Inactive	C.M. Life Insurance Company	301335	Agent - Life	8/15/2002	9/21/2015
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/25/2003	10/10/2014
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	10/13/2003
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/15/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	2/15/2017
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/22/2003	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/22/2003	4/1/2007
Active	Cigna National Health Insurance Company	300235	Agent - Health	12/6/2022
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	3/16/2018
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	3/16/2018
Active	Citizens Security Life Insurance Company	301257	Agent - Life	11/27/2000
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	5/3/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/13/2007	4/27/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/13/2007	4/27/2020
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	3/28/2018	7/18/2019
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Variable Life and Variable Annuities	3/28/2018	7/18/2019
Inactive	Combined Insurance Company of America	301472	Agent - Health	4/3/2016	4/13/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/31/2012	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/3/2020	6/14/2022
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/24/2002	4/17/2020
Inactive	Companion Life Insurance Company	300191	Agent - Life	10/24/2002	4/17/2020
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/13/2003	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/13/2003	6/11/2014
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/26/2016	6/15/2022
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	12/8/2017
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	12/8/2017
Active	Delaware Life Insurance Company	301256	Agent - Life	11/19/2013
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	1/10/2002	2/7/2007
Inactive	Dental Choice, Inc.	301702	Agent - Health	1/10/2002	2/7/2007
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/24/2019	6/14/2022
Active	EquiTrust Life Insurance Company	502870	Agent - Life	5/2/2012
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	10/24/2007	12/21/2018
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	10/24/2007	12/24/2020
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/1/2017
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	4/22/2003	10/29/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/22/2002	10/29/2008
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	4/4/2014
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	4/4/2014
Inactive	First Colony Life Insurance Company	301179	Agent - Health	7/29/2002	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/29/2002	1/1/2007
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/15/2015	7/26/2022
Active	Forethought Life Insurance Company	301407	Agent - Life	6/2/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/14/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/11/2013	12/13/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/11/2013	12/13/2014
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	7/17/2022
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	7/17/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/22/2001	12/6/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/22/2001	12/6/2022
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	4/8/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	4/8/2004	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/3/2001	2/28/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/3/2001	2/28/2020
Inactive	Health Resources Inc.	301210	Agent - Health	3/1/2001	3/4/2021
Inactive	Health Resources Inc.	301210	Agent - Prepaid Dental Plan	9/22/2000	3/1/2001
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/16/2018	6/14/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/28/2021	6/14/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/18/2018	6/14/2022
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2007	6/14/2022
Inactive	Humana Insurance Company	301104	Agent - Life	10/30/2007	6/14/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/31/2020	6/14/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/31/2020	6/14/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/28/2021	6/14/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/28/2021	6/14/2022
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/9/2013	7/31/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/30/2007	2/23/2012
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/17/2002
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/17/2002
Inactive	Imperium Insurance Company	300804	Agent - Health	12/3/2001	3/4/2002
Inactive	Independence American Insurance Company	524747	Agent - Health	2/8/2019	12/18/2020
Active	Integrity Life Insurance Company	301687	Agent - Life	4/1/2009
Inactive	Integrity Life Insurance Company	301687	Agent - Variable Life and Variable Annuities	4/1/2009	4/17/2015
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	2/12/2003	2/14/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/11/2002	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/11/2002	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	12/9/2002	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/9/2002	4/2/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/29/2003	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/29/2003	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	10/29/2003	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/4/2002
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	12/30/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/18/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/18/2012	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/4/2013	10/29/2015
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	9/2/2010	1/2/2014
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	9/2/2010	1/2/2014
Active	Life Insurance Company of North America	300711	Agent - Life	6/2/2015
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	1/26/2005	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	1/26/2005	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	1/26/2005	7/14/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/1/2000
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/1/2000
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/29/2007
Active	Loyal American Life Insurance Company	301172	Agent - Health	1/11/2023
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	5/5/2017	12/21/2018
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	4/14/2010	12/4/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	4/14/2010	12/4/2020
Active	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/16/2010
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	8/15/2002	9/21/2015
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/15/2002	9/21/2015
Inactive	Medical Life Insurance Company	300693	Agent - Health	12/2/2002	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	12/2/2002	12/31/2004
Inactive	Medico Insurance Company	301559	Agent - Health	12/11/2012	12/26/2014
Inactive	Medico Insurance Company	301559	Agent - Life	12/11/2012	12/26/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	3/23/2009	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/23/2009	11/14/2014
Active	Metropolitan Life Insurance Company	301948	Agent - Health	8/10/2004
Active	Metropolitan Life Insurance Company	301948	Agent - Life	8/10/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/20/2005	10/24/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/29/2009	1/26/2014
Active	National Western Life Insurance Company	301515	Agent - Life	8/15/2013
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	9/19/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/19/2023
Active	New York Life Insurance Company	300431	Agent - Health	12/15/2022
Active	New York Life Insurance Company	300431	Agent - Life	12/15/2022
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	12/15/2022
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	12/15/2022
Active	Oceanview Life and Annuity Company	301868	Agent - Life	4/11/2022
Active	Omaha Health Insurance Company	301296	Agent - Health	2/3/2021
Inactive	Omaha Insurance Company	751908	Agent - Health	10/4/2012	1/26/2014
Active	Oxford Life Insurance Company	301079	Agent - Life	2/10/2015
Active	Pacific Life Insurance Company	301848	Agent - Life	2/17/2022
Active	Principal Life Insurance Company	300129	Agent - Health	10/16/2000
Active	Principal Life Insurance Company	300129	Agent - Life	10/16/2000
Active	Principal National Life Insurance Company	301926	Agent - Life	4/6/2017
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/21/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/21/2010
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	9/6/2001	12/21/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/6/2016	11/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/6/2016	11/30/2023
Active	Pruco Life Insurance Company	300954	Agent - Life	4/19/2002
Inactive	Prudential Insurance Company of America	300784	Agent - Health	3/24/2011	12/21/2022
Inactive	Prudential Insurance Company of America	300784	Agent - Life	4/19/2002	12/21/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/27/2009	10/5/2012
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	3/20/2008	11/13/2012
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	4/18/2013
Active	Royal Neighbors of America	301646	Agent - Life	3/16/2017
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	2/1/2011	9/29/2012
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	5/21/2020
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	5/21/2020
Active	Sentinel Security Life Insurance Company	935789	Agent - Variable Life and Variable Annuities	5/21/2020
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	11/6/2000	10/15/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	11/6/2000	10/15/2005
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/30/2019	7/26/2022
Active	Standard Insurance Company	300185	Agent - Health	7/29/2002
Active	Standard Insurance Company	300185	Agent - Life	7/29/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/13/2017	2/27/2020
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	3/20/2017	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	3/20/2017	12/26/2018
Inactive	Starmount Life Insurance Company	628031	Agent - Health	2/25/2020	11/30/2023
Active	State Life Insurance Company	301497	Agent - Health	11/29/2017
Active	State Life Insurance Company	301497	Agent - Life	11/29/2017
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	12/8/2010
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	5/25/2006
Active	Symetra Life Insurance Company	301691	Agent - Health	2/5/2016
Active	Symetra Life Insurance Company	301691	Agent - Life	2/5/2016
Active	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	2/5/2016
Active	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	7/2/2010
Active	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	7/2/2010
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	12/8/2009	6/20/2018
Inactive	Thrivent Financial for Lutherans	301101	Agent - Life	9/28/2017	9/18/2019
Inactive	Transamerica Assurance Company	300893	Agent - Health	6/5/2002	8/5/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	6/5/2002	8/5/2003
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2005
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Health	6/5/2002	10/1/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	6/5/2002	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/5/2002	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/5/2002	10/1/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/2/2003	9/18/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/6/2016	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/6/2016	11/30/2023
Inactive	Union Central Life Insurance Company	300307	Agent - Health	4/23/2005	3/3/2006
Inactive	Union Central Life Insurance Company	300307	Agent - Life	4/23/2005	3/3/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	10/30/2007	12/16/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	10/30/2007	12/16/2020
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Health	11/5/2012	11/16/2020
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Life	11/5/2012	11/16/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/21/2004	1/26/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/21/2004	1/26/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2020	9/19/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/23/2015	9/19/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	5/21/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/29/2022	9/19/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/1/2020	6/7/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/9/2019	5/21/2020
Inactive	Unum Insurance Company	301499	Agent - Health	2/25/2020	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Life	2/25/2020	11/30/2023
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	5/8/2008	10/20/2012
Active	Vision Service Plan Insurance Company	300526	Agent - Health	11/26/2001
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/5/2022	5/25/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/5/2022	5/25/2022
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/25/2003	11/16/2011
Inactive	Western National Life Insurance Company	300461	Agent - Life	7/23/2004	11/29/2007
Inactive		300277	Agent - Life	1/9/2001	1/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Terrell Lane	676950	Agent - Health	5/16/2011	6/26/2012
Inactive	Anderson, Terrell Lane	676950	Agent - Life	5/16/2011	6/26/2012
Inactive	Baggett, Bret E	515891	Agent - Health	5/25/2001	7/1/2004
Inactive	Baggett, Bret E	515891	Agent - Life	5/25/2001	7/1/2004
Denied	Bates, Ashley D	851585	Agent - Health
Denied	Bates, Ashley D	851585	Agent - Life
Inactive	Bohannon, Terry Lee	369036	Agent - Health	10/18/2016	4/16/2021
Inactive	Bohannon, Terry Lee	369036	Agent - Life	10/18/2016	4/16/2021
Inactive	Byars, Olivia Faith	951191	Agent - Health	12/19/2019	4/16/2021
Inactive	Byars, Olivia Faith	951191	Agent - Life	12/19/2019	4/16/2021
Inactive	Cooper, Wendy Dye	505097	Agent - Health	6/26/2012	4/16/2021
Inactive	Cooper, Wendy Dye	505097	Agent - Life	6/26/2012	4/16/2021
Inactive	Davidson, Julia Corinne	843686	Agent - Health	11/7/2014	4/16/2021
Inactive	Davidson, Julia Corinne	843686	Agent - Life	11/7/2014	4/16/2021
Inactive	Davis, Clay Wright	954863	Agent - Health	6/3/2017	4/16/2021
Inactive	Davis, Clay Wright	954863	Agent - Life	6/3/2017	4/16/2021
Denied	Helm, Eric	799299	Agent - Health
Denied	Helm, Eric	799299	Agent - Life
Active	Holland, Jeffrey L	357725	Agent - Health	7/14/2000
Active	Holland, Jeffrey L	357725	Agent - Life	7/14/2000
Active	Holland, Jeffrey L	357725	Agent - Variable Life and Variable Annuities	8/30/2001
Inactive	Laird, Frank Anthony	581372	Agent - Health	8/8/2019	4/16/2021
Inactive	Laird, Frank Anthony	581372	Agent - Life	8/8/2019	4/16/2021
Denied	Merritt, Kristina	1245046	Agent - Health
Denied	Merritt, Kristina	1245046	Agent - Life
Inactive	Pritchard, Chrysta Marie	965478	Agent - Health	9/20/2017	10/4/2017
Inactive	Pritchard, Chrysta Marie	965478	Agent - Life	9/20/2017	10/4/2017
Denied	Reil, Veronica L	336992	Agent - Health
Denied	Reil, Veronica L	336992	Agent - Life
Active	Samsil, Cory Aaron	577627	Agent - Health	1/31/2005
Active	Samsil, Cory Aaron	577627	Agent - Life	1/31/2005
Inactive	Stewart, Ashley Elizabeth	665229	Agent - Health	12/4/2007	5/16/2011
Inactive	Stewart, Ashley Elizabeth	665229	Agent - Life		5/16/2011
Inactive	Stivers, Janice Helen	334008	Agent - Health	7/14/2000	10/16/2006
Inactive	Stivers, Janice Helen	334008	Agent - Life	7/14/2000	10/16/2006
Inactive	Stivers, Janice Helen	334008	Agent - Prepaid Dental Plan	9/22/2000	3/1/2001
Inactive	Stivers, Jody Wayne	371608	Agent - Health	6/11/2002	11/29/2022
Inactive	Stivers, Jody Wayne	371608	Agent - Life	6/11/2002	11/29/2022
Inactive	Stivers, Jody Wayne	371608	Life & Health Consultant - Not Applicable	11/23/2010	4/5/2022
Inactive	Stivers, Ronald Wayne	367302	Agent - Health	7/14/2000	8/1/2019
Inactive	Stivers, Ronald Wayne	367302	Agent - Life	7/14/2000	8/1/2019
Inactive	Stone, Karen M	504591	Agent - Health	9/24/2019	4/16/2021
Inactive	Stone, Karen M	504591	Agent - Life	9/24/2019	4/16/2021
Denied	Tucker, Allison Kayt	999893	Agent - Health
Denied	Tucker, Allison Kayt	999893	Agent - Life
Inactive	Ward, Megan Danielle	687077	Agent - Health	1/9/2014	4/16/2021
Inactive	Ward, Megan Danielle	687077	Agent - Life	1/9/2014	4/16/2021
Inactive	Webb, Amy S	965409	Agent - Health	9/7/2017	4/16/2021
Inactive	Webb, Amy S	965409	Agent - Life	9/7/2017	4/16/2021

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	8/10/2000	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/10/2000	12/31/2001