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DEPARTMENT OF INSURANCE
Affiliations
Name
Samuelson, Cory M
DOIID
805386
NAIC NPN
16586279
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
3/9/2013
2/10/2020
Inactive
Non Resident
Agent
Health
9/17/2020
11/30/2020
* 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 Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
1/24/2019
7/30/2019
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
1/24/2019
7/30/2019
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
10/8/2020
11/30/2020
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
10/28/2015
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
3/15/2013
7/12/2019
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
11/15/2013
11/14/2014
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
4/28/2015
3/21/2018
Inactive
Pruco Life Insurance Company
300954
Agent - Life
12/27/2017
2/10/2020
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/7/2018
7/26/2019
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
5/7/2018
7/26/2019
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/20/2020
11/30/2020
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
9/20/2020
11/30/2020
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
9/20/2020
11/30/2020
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/20/2020
11/30/2020
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
11/20/2020
11/30/2020
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
11/20/2020
11/30/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Efinancial LLC
598419
Agent - Life
1/6/2014
2/10/2020
Denied
Efinancial LLC
598419
Agent - Health
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