DEPARTMENT OF INSURANCE

Affiliations

Name	Davidson, Samantha L	DOIID	639157	NAIC NPN	8495672

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/5/2006	6/30/2026
Active	Non Resident	Agent	Health	9/5/2006	6/30/2026
* 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	04/15/2024	06/30/2024	05/09/2024	05/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/11/2014	6/18/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/11/2014	6/18/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/11/2014	6/18/2019
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/6/2013	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/6/2013	10/12/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/23/2015	8/11/2016
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	8/6/2013	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/6/2013	6/16/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/6/2013	6/16/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/3/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	12/3/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	12/3/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/3/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/3/2014	10/22/2015
Active	Life Insurance Company of North America	300711	Agent - Life	3/12/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/14/2013
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/14/2013
Active	Metropolitan Life Insurance Company	301948	Agent - Health	10/3/2013
Active	Metropolitan Life Insurance Company	301948	Agent - Life	10/3/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/19/2006	3/9/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/19/2006	3/9/2016
Active	ReliaStar Life Insurance Company	301712	Agent - Health	9/29/2006
Active	ReliaStar Life Insurance Company	301712	Agent - Life	9/29/2006
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	9/29/2006	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	9/29/2006	6/25/2008
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	8/23/2013	1/23/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	8/23/2013	1/23/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/24/2007	3/9/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/24/2007	3/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliant Insurance Services, Inc.	551378	Agent - Health	10/7/2009
Active	Alliant Insurance Services, Inc.	551378	Agent - Life	10/7/2009
Inactive	Benefit Advisors Services Group LLC	769084	Agent - Health	12/17/2015	5/9/2023
Inactive	Benefit Advisors Services Group LLC	769084	Agent - Life	12/17/2015	5/9/2023
Active	Dental Choice Agency Inc.	398085	Agent - Health	12/1/2014
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Health	9/17/2018	5/16/2019
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Life	9/17/2018	5/16/2019