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.

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	Electric Insurance Company	301758	Agent - Casualty	8/14/2006	1/16/2007
Inactive	Electric Insurance Company	301758	Agent - Property	8/14/2006	1/16/2007
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	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