PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameFuenzalida, Samuel EduardoDOIID791544NAIC NPN7732959
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth9/30/2021 8/31/2025
Pending ReplacementNon ResidentAgentLife9/30/2021 8/31/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health2/24/202211/17/2023
Pending ReplacementAccendo Insurance Company300312Agent - Life2/24/2022 
InactiveAetna Health Inc. (PA)660717Agent - Health10/5/201212/24/2012
Pending ReplacementAetna Health and Life Insurance Company300523Agent - Health2/24/2022 
InactiveAetna Life Insurance Company301140Agent - Health10/5/201212/24/2012
InactiveAetna Life Insurance Company301140Agent - Life10/5/201212/24/2012
InactiveAnthem Life Insurance Company301209Agent - Health10/15/201212/1/2012
InactiveAnthem Life Insurance Company301209Agent - Life10/15/201212/1/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health9/20/201211/28/2012
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health2/24/2022 
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life2/24/2022 
InactiveDental Concern Inc. (The)301641Agent - Health9/20/201211/28/2012
InactiveGreat Western Insurance Company501693Agent - Life12/8/202112/21/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/201211/28/2012
InactiveHumana Health Plan, Inc.300142Agent - Health9/20/201211/28/2012
InactiveHumana Insurance Company301104Agent - Health9/20/201211/28/2012
InactiveHumana Insurance Company301104Agent - Life9/20/201211/28/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/20/201211/28/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/20/201211/28/2012
InactiveLiberty Bankers Life Insurance Company542461Agent - Life12/28/202112/20/2022
InactiveMutual of Omaha Insurance Company301012Agent - Health10/15/20128/22/2013
InactiveOmaha Insurance Company751908Agent - Health10/15/20128/22/2013
Pending ReplacementRoyal Neighbors of America301646Agent - Life11/11/2022 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/8/20233/22/2024
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/8/20233/22/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/15/201212/11/2012
InactiveDesignated Agent Company Inc.681257Agent - Life10/15/201212/11/2012

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