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	Health	1/4/2007	8/31/2026
Active	Non Resident	Agent	Life	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.

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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/29/2018	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/29/2018	4/15/2025
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	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	1/14/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/31/2018	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/31/2018	2/11/2025
Active	Lockton Companies LLC	621496	Agent - Health	2/20/2017
Active	Lockton Companies LLC	621496	Agent - Life	2/20/2017