DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Plymale, Samuel Francis	DOIID	630654	NAIC NPN	8777731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Limited Line Credit	2/27/2015	2/28/2019
Inactive	Resident	Agent	Life	5/30/2006	3/1/2011
* 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	Augustar Life Insurance Company	301816	Agent - Life	6/16/2006	3/3/2008
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/21/2006	8/17/2009
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/4/2007	3/1/2011
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/27/2015	6/29/2017
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	6/23/2006	3/1/2011
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/16/2006	3/1/2011
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/3/2008	3/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	6/13/2007	3/1/2011
Inactive	Forcht Bank, NA	556805	Agent - Limited Line Credit	9/1/2015	6/29/2017