DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dial, Samuel Tasker	DOIID	849236	NAIC NPN	8332316

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/11/2019	3/31/2022
Inactive	Non Resident	Agent	Health	7/11/2019	3/31/2022
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	3/31/2022
Inactive	Pacific Life Insurance Company	301848	Agent - Health	8/31/2014	3/31/2016
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/31/2014	3/31/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/16/2019	3/31/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/16/2019	3/31/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/16/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/16/2019	10/1/2020
Inactive	Trinity Life Insurance Company	552459	Agent - Life	7/20/2015	3/31/2016
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	9/25/2014	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	9/25/2014	10/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	10/20/2014	3/31/2016
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	10/20/2014	3/31/2016