DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Troncalli, Samuel	DOIID	642679	NAIC NPN	563324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/24/2006	10/31/2008
Inactive	Non Resident	Agent	Health	10/24/2006	10/31/2008
* 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	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2008	10/31/2008
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2008	10/31/2008
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2008	10/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/13/2008	10/31/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/13/2008	10/31/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/1/2008	10/31/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	10/1/2008	10/31/2008
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/30/2008	10/31/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2008	10/31/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/1/2008	10/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/15/2008	10/31/2008
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/15/2008	10/31/2008