DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davidson, Samantha	DOIID	801552	NAIC NPN	8264231

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/16/2013	2/28/2015
Inactive	Non Resident	Agent	Life	1/16/2013	2/28/2015
* 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	Anthem Life Insurance Company	301209	Agent - Health	3/16/2013	2/28/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/16/2013	2/28/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/30/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/30/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/30/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	4/30/2013	2/28/2015
Inactive	Humana Insurance Company	301104	Agent - Life	4/30/2013	2/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/30/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/30/2013	12/5/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/1/2013	1/6/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/1/2013	1/6/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/29/2013	12/20/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/29/2013	12/20/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/29/2013	12/20/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/29/2013	12/20/2013

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 - Health	12/2/2013	2/28/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013	2/28/2015
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	1/29/2013	12/10/2013
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	1/29/2013	12/10/2013