DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Samuel Marshall	DOIID	756750	NAIC NPN	15836981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/21/2011	10/2/2012
Inactive	Non Resident	Agent	Health	6/21/2011	10/2/2012
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	6/21/2011	5/24/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	6/21/2011	5/24/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/6/2011	11/7/2011
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	7/19/2011	11/1/2011
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	7/19/2011	11/1/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	6/30/2011	10/2/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/30/2011	10/2/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/5/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/5/2011	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	8/1/2011	11/18/2011
Inactive	SelectQuote Insurance Services	533194	Agent - Health	8/1/2011	11/18/2011