DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Massey, Samuel E	DOIID	558397	NAIC NPN	645456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/4/2002		8/31/2026
Active	Non Resident	Agent	Health	8/6/2009		8/31/2026
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/9/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	10/20/2005	10/25/2012
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/23/2007	8/10/2015
Active	Banner Life Insurance Company	301696	Agent - Life	7/13/2017
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	6/24/2005	12/1/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/13/2014	2/1/2017
Active	Gerber Life Insurance Company	300529	Agent - Life	1/13/2014
Inactive	Independent Order of Foresters	300743	Agent - Life	7/17/2007	8/14/2009
Active	Life Insurance Company of the Southwest	301867	Agent - Health	5/13/2020
Active	Life Insurance Company of the Southwest	301867	Agent - Life	5/13/2020
Active	North American Company for Life and Health Insurance	300291	Agent - Life	4/22/2012
Active	Protective Life Insurance Company	300638	Agent - Life	11/4/2002
Active	Pruco Life Insurance Company	300954	Agent - Life	2/11/2016
Active	State Life Insurance Company	301497	Agent - Health	6/16/2016
Active	State Life Insurance Company	301497	Agent - Life	6/16/2016
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	5/12/2004	10/2/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Agents Marketing Group The	644935	Agent - Life	8/6/2009
Active	Agents Marketing Group The	644935	Agent - Health	8/6/2009
Active	Cetera Advisor Networks LLC	400814	Agent - Life	2/24/2025
Active	Cetera Advisor Networks LLC	400814	Agent - Health	2/24/2025
Inactive	Insurance Designers Of America , LLC	583874	Agent - Life	9/15/2011	6/1/2023