DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaufman, Samuel J	DOIID	536693	NAIC NPN	428215

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/6/2001		1/31/2026
Active	Non Resident	Agent	Health	8/25/2014		1/31/2026
* 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	Acacia Life Insurance Company	300375	Agent - Life	12/16/2008	8/24/2012
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	3/24/2021
Active	Banner Life Insurance Company	301696	Agent - Life	9/6/2001
Active	Equitable Financial Life Insurance Company	300808	Agent - Life	7/28/2004
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	3/30/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/1/2009	4/18/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/26/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/23/2001	12/18/2012
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/14/2004	8/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Agent Support Services LLC	1087785	Agent - Life	6/30/2020	1/27/2021
Inactive	Agent Support Services LLC	1087785	Agent - Health	6/30/2020	1/27/2021