DEPARTMENT OF INSURANCE

Affiliations

Name	Sammis, Bruce A	DOIID	646979	NAIC NPN	1245427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/4/2007	8/31/2026
Active	Non Resident	Agent	Health	1/4/2007	8/31/2026
* 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	06/15/2024	08/31/2024	06/06/2024	06/06/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	10/13/2017
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	7/2/2019
Active	All Savers Insurance Company	301940	Agent - Health	10/30/2019
Active	All Savers Insurance Company	301940	Agent - Life	10/30/2019
Active	American Heritage Life Insurance Company	300272	Agent - Health	3/13/2023
Active	American Heritage Life Insurance Company	300272	Agent - Life	3/13/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/20/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	12/29/2018
Active	Anthem Life Insurance Company	301209	Agent - Life	12/29/2018
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Health	9/27/2023
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/23/2021	7/11/2024
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/23/2021	7/11/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/21/2016
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	4/21/2016
Active	Combined Insurance Company of America	301472	Agent - Health	10/9/2017
Active	Combined Insurance Company of America	301472	Agent - Life	10/9/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/14/2013	12/5/2014
Active	Companion Life Insurance Company	300191	Agent - Health	4/12/2022
Active	Companion Life Insurance Company	300191	Agent - Life	4/12/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/27/2020
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	2/12/2021
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/12/2021
Active	Gerber Life Insurance Company	300529	Agent - Health	1/20/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/11/2013
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/11/2013
Active	HCC Life Insurance Company	301827	Agent - Health	3/27/2013
Active	HCC Life Insurance Company	301827	Agent - Life	3/27/2013
Inactive	HM Life Insurance Company	301408	Agent - Health	9/16/2014	3/25/2024
Inactive	HM Life Insurance Company	301408	Agent - Life	9/16/2014	3/25/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/30/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/30/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/14/2013	12/5/2014
Active	Humana Health Plan, Inc.	300142	Agent - Health	2/27/2020
Active	Humana Insurance Company	301104	Agent - Health	2/27/2020
Inactive	Humana Insurance Company	301104	Agent - Life	12/14/2013	12/19/2019
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	2/27/2020
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	2/27/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/3/2012	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/3/2012	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/14/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/14/2013	12/5/2014
Active	Life Insurance Company of North America	300711	Agent - Health	4/8/2019
Active	Life Insurance Company of North America	300711	Agent - Life	4/8/2019
Active	Metropolitan Life Insurance Company	301948	Agent - Health	10/17/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/17/2013	12/10/2020
Active	National Guardian Life Insurance Company	300596	Agent - Health	2/28/2018
Active	Principal Life Insurance Company	300129	Agent - Health	9/5/2019
Active	Principal Life Insurance Company	300129	Agent - Life	9/5/2019
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/6/2008
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/6/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	8/10/2015
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	2/26/2016
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	2/26/2016
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Active	Symetra Life Insurance Company	301691	Agent - Health	5/8/2018
Active	Symetra Life Insurance Company	301691	Agent - Life	5/8/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/6/2008
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/6/2008
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/28/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/28/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/5/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/5/2018
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/5/2018
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/31/2022
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/5/2022
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/26/2022
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/26/2022
Inactive	Westport Insurance Corporation	301875	Agent - Health	11/18/2010	4/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	1/14/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/31/2018
Active	Designated Agent Company Inc.	681257	Agent - Life	12/31/2018
Active	Lockton Companies LLC	621496	Agent - Health	2/20/2017
Active	Lockton Companies LLC	621496	Agent - Life	2/20/2017