DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hodge, Samuel Louis	DOIID	854414	NAIC NPN	17153750

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/7/2018	11/30/2019
Inactive	Non Resident	Agent	Health	6/7/2018	11/30/2019
* 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	American Financial Security Life Insurance Co.	301635	Agent - Health	11/3/2015	11/30/2017
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	11/3/2015	11/30/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/3/2019	11/30/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/3/2019	11/30/2019
Inactive	Companion Life Insurance Company	300191	Agent - Health	5/26/2015	11/30/2017
Inactive	Everest Reinsurance Company	301836	Agent - Health	1/17/2017	11/30/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/28/2015	12/10/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/28/2015	12/10/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/6/2016	11/30/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/6/2016	11/30/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	2/16/2015	3/20/2017
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/23/2019	11/30/2019
Inactive	National Health Insurance Company	300554	Agent - Health	6/18/2015	11/30/2017
Inactive	National Health Insurance Company	300554	Agent - Life	6/18/2015	11/30/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/15/2018	11/30/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/2/2015	12/12/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/28/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/28/2015	11/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Service Insurance Agency LLC	776503	Agent - Health	6/14/2016	11/30/2017
Inactive	American Service Insurance Agency LLC	776503	Agent - Life	6/14/2016	11/30/2017
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/28/2018	11/30/2019