PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NamePollack, Samantha HiersDOIID693765NAIC NPN10399760
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/17/200812/31/2012 
InactiveNon ResidentAgentHealth11/17/200812/31/2012 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Continental Insurance Company643130Agent - Health1/31/201112/31/2012
InactiveAmerican Continental Insurance Company643130Agent - Life1/31/201112/31/2012
InactiveAmerican General Life Insurance Company301585Agent - Health2/23/201111/15/2011
InactiveAmerican General Life Insurance Company301585Agent - Life2/23/201111/15/2011
InactiveAthene Annuity & Life Assurance Company301798Agent - Life12/11/20086/7/2011
InactiveBanner Life Insurance Company301696Agent - Life1/12/201212/31/2012
InactiveGlobe Life and Accident Insurance Company300639Agent - Health1/7/20091/20/2011
InactiveGlobe Life and Accident Insurance Company300639Agent - Life1/7/20091/20/2011
InactiveMadison National Life Insurance Company Inc.301458Agent - Health11/11/20117/16/2012
InactiveMadison National Life Insurance Company Inc.301458Agent - Life11/11/20117/16/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/14/201112/31/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/14/201112/31/2012
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health2/2/201111/21/2012
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life2/2/201111/21/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSelectQuote Insurance Services533194Agent - Life2/2/20091/24/2011
InactiveSelectQuote Insurance Services533194Agent - Health2/2/20091/20/2011

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