DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Samantha	DOIID	687951	NAIC NPN	10696689

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/27/2008		4/30/2025
Active	Non Resident	Agent	Health	8/27/2008		4/30/2025
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	5/17/2013	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	5/17/2013	10/12/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/4/2008	6/14/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/4/2008	6/14/2011
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/8/2019
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/8/2019
Active	Starmount Life Insurance Company	628031	Agent - Health	5/8/2019
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/8/2019
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/8/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/11/2011	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/11/2011	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/11/2011	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/11/2011	12/1/2016
Active	Unum Insurance Company	301499	Agent - Health	5/8/2019
Active	Unum Insurance Company	301499	Agent - Life	5/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Edgewood Partners Insurance Center	549891	Agent - Life	12/13/2017	3/8/2018
Inactive	Edgewood Partners Insurance Center	549891	Agent - Health	12/13/2017	3/8/2018
Active	Mercer Health & Benefits LLC	607080	Agent - Life	5/8/2019
Active	Mercer Health & Benefits LLC	607080	Agent - Health	5/8/2019
Active	Willis Towers Watson US LLC	705053	Agent - Life	7/28/2023
Active	Willis Towers Watson US LLC	705053	Agent - Health	7/28/2023