DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Beltran, Samantha	DOIID	792760	NAIC NPN	16609989

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/14/2017	8/31/2021
Inactive	Non Resident	Agent	Life	9/14/2017	8/31/2021
* 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	2/14/2018	10/10/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/12/2012	8/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/12/2012	8/31/2015
Inactive	CMFG Life Insurance Company	300929	Agent - Health	7/7/2018	7/17/2018
Inactive	CMFG Life Insurance Company	300929	Agent - Life	7/7/2018	7/17/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/2/2017	2/6/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/2/2017	2/6/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/21/2019	8/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/7/2014	10/15/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/7/2014	10/15/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/12/2012	8/31/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/12/2012	8/31/2015