DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haque, Samia	DOIID	826703	NAIC NPN	17097623

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/5/2013	8/31/2015
Inactive	Non Resident	Agent	Health	11/5/2013	8/31/2015
Inactive	Non Resident	Staff Adjuster	Property & Casualty	12/11/2015	8/31/2019
* 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	12/3/2013	6/26/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/3/2013	6/26/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/25/2013	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/25/2013	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Life	11/25/2013	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/25/2013	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/25/2013	5/28/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/28/2015
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	11/22/2013	8/20/2014

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	12/3/2013	6/26/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/3/2013	6/26/2014