DEPARTMENT OF INSURANCE

Affiliations

Name	Sams, Matthew Curtis	DOIID	621653	NAIC NPN	8665196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	8/14/2013	8/31/2026
Active	Resident	Agent	Life	8/13/2013	8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	06/24/2024	06/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/2/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/2/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/2/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/8/2008	4/9/2010
Denied	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/13/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/13/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/13/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/14/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/1/2010	2/18/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/2/2015	11/20/2017
Active	CompBenefits Insurance Company	301864	Agent - Health	12/5/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/13/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/19/2010	9/1/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2021	7/21/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/19/2010	9/1/2012
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	1/31/2019
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/31/2019
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/26/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/23/2020	7/21/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/5/2018	8/6/2020
Active	Humana Insurance Company	301104	Agent - Health	8/23/2022
Inactive	Humana Insurance Company	301104	Agent - Life	10/5/2018	7/21/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2018	8/6/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2018	8/6/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/21/2020	7/21/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/23/2020	7/21/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/2/2015	11/12/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/2/2015	11/12/2015
Active	SilverScript Insurance Company	663526	Agent - Health	2/2/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/14/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/14/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	10/11/2023
Inactive	Senture LLC	731399	Agent - Health	9/20/2011	1/31/2012