DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Samuel Martin	DOIID	636000	NAIC NPN	102115

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/10/2023		4/30/2025
Active	Non Resident	Agent	Health	7/10/2023		4/30/2025
Inactive	Non Resident	Agent	Casualty	7/25/2006	4/30/2009
Inactive	Non Resident	Agent	Property	7/25/2006	4/30/2009
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	4/30/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/22/2019	7/9/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/18/2019	4/30/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/19/2021	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/22/2019	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/22/2019	7/9/2021
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	10/27/2006	1/15/2007
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	10/27/2006	1/15/2007
Inactive	American Continental Insurance Company	643130	Agent - Life	5/18/2019	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/6/2022	5/1/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/6/2022	5/1/2023
Inactive	American Security Insurance Company	300901	Agent - Casualty	8/31/2006	1/31/2007
Inactive	American Security Insurance Company	300901	Agent - Property	8/31/2006	1/31/2007
Inactive	Continental American Insurance Company	301700	Agent - Health	7/3/2019	6/6/2023
Inactive	Continental American Insurance Company	301700	Agent - Life	7/3/2019	6/6/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/18/2019	4/30/2023
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	8/23/2006	1/16/2007
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/23/2006	1/16/2007
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/6/2019	9/25/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/6/2019	9/25/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	1/7/2021	12/21/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/21/2019	2/28/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/9/2019	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/9/2019	10/8/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	4/30/2019	4/30/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/30/2019	4/30/2023
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	8/14/2006	1/16/2007
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	8/14/2006	1/16/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2006	4/30/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2006	4/30/2009
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/9/2021
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	8/31/2006	1/31/2007
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	8/31/2006	1/31/2007
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/9/2019	10/8/2021
Inactive	Trustmark Insurance Company	300317	Agent - Health	11/1/2019	4/30/2023
Inactive	Trustmark Insurance Company	300317	Agent - Life	11/1/2019	4/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/9/2019	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/9/2019	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Health	10/9/2019	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Life	10/9/2019	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	401337	Agent - Property	8/28/2006	2/15/2007
Inactive	Insurance Answer Center LLC	401337	Agent - Casualty	8/28/2006	2/15/2007
Inactive	Kelsey National Corporation	398031	Agent - Life	6/2/2021	5/12/2022
Inactive	Kelsey National Corporation	398031	Agent - Health	6/2/2021	5/12/2022