DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cox, Samuel Eric	DOIID	557021	NAIC NPN	7441289

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Limited Line Credit
Inactive	Resident	Agent	Health	11/1/2002	1/30/2006
Inactive	Resident	Agent	Life	11/4/2002	1/30/2006
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/5/2009	2/10/2012
Inactive	Merit Life Insurance Co.	300150	Agent - Health	11/1/2002	1/30/2006
Inactive	Merit Life Insurance Co.	300150	Agent - Life	11/4/2002	1/30/2006
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	9/23/2002	1/30/2006
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	9/23/2002	1/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	M M & L Auto Inc	662843	Agent - Limited Line Credit	6/16/2010	12/31/2011