DEPARTMENT OF INSURANCE

Affiliations

Name	Bays, Sam Henderson	DOIID	646023	NAIC NPN	8995891

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/28/2009	2/1/2011
Inactive	Resident	Agent	Casualty	12/28/2009	2/1/2011
Inactive	Resident	Agent	Life	12/28/2009	2/1/2011
Inactive	Resident	Agent	Property	12/28/2009	2/1/2011
* 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	Allstate Indemnity Company	300778	Agent - Casualty	2/19/2010	10/30/2010
Inactive	Allstate Indemnity Company	300778	Agent - Property	2/19/2010	10/30/2010
Inactive	Allstate Insurance Company	300773	Agent - Casualty	2/19/2010	10/30/2010
Inactive	Allstate Insurance Company	300773	Agent - Property	2/19/2010	10/30/2010
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	2/19/2010	10/30/2010
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	2/19/2010	10/30/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/16/2007	2/1/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/16/2007	2/1/2009
Inactive	Columbian Life Insurance Company	300810	Agent - Health	5/14/2007	2/1/2009
Inactive	Columbian Life Insurance Company	300810	Agent - Life	1/13/2010	2/1/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Health	1/21/2010	10/30/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Life	1/21/2010	10/30/2010
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/24/2007	2/1/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/24/2007	2/1/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/12/2007	2/1/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/12/2007	2/1/2009
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	4/24/2007	10/31/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/14/2007	12/29/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/14/2007	12/29/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	2/19/2010	10/30/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	2/19/2010	10/30/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/23/2007	10/31/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/9/2007	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	Arison Insurance Services, Inc.	401001	Agent - Health	8/16/2007	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/16/2007	6/20/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	2/1/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	2/1/2009