DEPARTMENT OF INSURANCE
Affiliations
NameSampson, David DOIID611521NAIC NPN8502269
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth10/13/20164/7/2017 
InactiveNon ResidentAgentLife10/13/20164/7/2017 
InactiveNon ResidentAgentVariable Life and Variable Annuities7/7/20053/31/2015 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Concern Inc. (The)301641Agent - Health10/25/20163/3/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/25/20163/3/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/25/20163/3/2017
InactiveHumana Health Plan, Inc.300142Agent - Health10/25/20163/3/2017
InactiveHumana Insurance Company301104Agent - Health10/25/20163/3/2017
InactiveHumana Insurance Company301104Agent - Life10/25/20163/3/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/25/20163/3/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/25/20163/3/2017
InactiveHumana Medical Plan, Inc.801568Agent - Health10/25/20163/3/2017
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/25/20163/3/2017
InactiveSilverScript Insurance Company663526Agent - Health12/3/20164/7/2017
InactiveTIAA-CREF Life Insurance Company556577Agent - Health8/1/200510/2/2013
InactiveTIAA-CREF Life Insurance Company556577Agent - Life8/1/200510/2/2013
InactiveTIAA-CREF Life Insurance Company556577Agent - Variable Life and Variable Annuities8/1/200510/2/2013
InactiveTeachers Insurance and Annuity Association of America301596Agent - Health8/1/200510/2/2013
InactiveTeachers Insurance and Annuity Association of America301596Agent - Life8/1/200510/2/2013
InactiveTeachers Insurance and Annuity Association of America301596Agent - Variable Life and Variable Annuities8/1/200510/2/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/19/20161/23/2017
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health10/19/20161/23/2017
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/19/20161/23/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTIAA-CREF Insurance Agency LLC614549Agent - Life10/17/200710/2/2013
InactiveTIAA-CREF Insurance Agency LLC614549Agent - Variable Life and Variable Annuities10/17/200710/2/2013
InactiveTIAA-CREF Insurance Agency LLC614549Agent - Health10/17/200710/2/2013

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