DEPARTMENT OF INSURANCE

Affiliations

Name	Samayoa, Carlo	DOIID	693146	NAIC NPN	2835483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/3/2020	2/28/2025
Active	Non Resident	Agent	Health	9/26/2019	2/28/2025
* 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	AXIS Insurance Company	301290	Agent - Health	6/1/2018	7/17/2018
Active	American Heritage Life Insurance Company	300272	Agent - Health	8/18/2020
Active	American Heritage Life Insurance Company	300272	Agent - Life	8/18/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	12/19/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/14/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/30/2009	12/19/2017
Active	Continental American Insurance Company	301700	Agent - Health	7/17/2020
Active	Continental American Insurance Company	301700	Agent - Life	10/27/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/19/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/19/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	12/19/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/13/2008	12/19/2017
Inactive	Humana Insurance Company	301104	Agent - Health	11/13/2008	12/19/2017
Inactive	Humana Insurance Company	301104	Agent - Life	11/13/2008	12/19/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/13/2008	12/19/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/13/2008	12/19/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/19/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/19/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/16/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/6/2017	12/19/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/6/2017	12/19/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/23/2018	2/28/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/23/2018	2/28/2019
Active	ReliaStar Life Insurance Company	301712	Agent - Health	2/18/2021
Active	ReliaStar Life Insurance Company	301712	Agent - Life	2/18/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/23/2018	2/28/2019
Active	Trustmark Insurance Company	300317	Agent - Health	9/26/2023
Active	Trustmark Insurance Company	300317	Agent - Life	9/26/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/23/2018	2/28/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/23/2018	2/28/2019
Inactive	Unum Insurance Company	301499	Agent - Health	10/23/2018	2/28/2019
Inactive	Unum Insurance Company	301499	Agent - Life	10/23/2018	2/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/2/2009	12/19/2017
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/2/2009	12/19/2017