DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Weigand, Samantha Jane	DOIID	826495	NAIC NPN	17091870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/6/2023		2/28/2025
Active	Non Resident	Agent	Health	6/6/2023		2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	1/10/2014	2/28/2015
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	1/10/2014	2/28/2015
Active	American General Life Insurance Company	301585	Agent - Health	5/1/2024
Active	American General Life Insurance Company	301585	Agent - Life	5/1/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/20/2017	2/28/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/20/2017	2/28/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	6/24/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	6/24/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/27/2013	2/28/2015
Inactive	Time Insurance Company	300683	Agent - Health	11/21/2013	4/2/2014
Inactive	Time Insurance Company	300683	Agent - Life	11/21/2013	4/2/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	6/20/2017	2/28/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Health	6/20/2017	2/28/2023