DEPARTMENT OF INSURANCE

Affiliations

Name	Coots, Samuel Taylor	DOIID	867282	NAIC NPN	17488017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	9/21/2017	5/16/2022
Inactive	Resident	Agent	Casualty	9/21/2017	5/16/2022
Inactive	Resident	Agent	Health	2/26/2015	5/16/2022
Inactive	Resident	Agent	Life	2/26/2015	5/16/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/23/2018	5/16/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/23/2018	5/16/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/23/2018	5/16/2022
Inactive	American United Life Insurance Company	300498	Agent - Health	4/30/2018	5/16/2022
Inactive	American United Life Insurance Company	300498	Agent - Life	4/30/2018	5/16/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/7/2017	5/26/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/7/2017	5/26/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	7/8/2016	2/13/2018
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/8/2016	2/13/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/28/2016	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/26/2021	5/16/2022
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/24/2015	5/16/2022
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/24/2015	5/16/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/23/2018	5/16/2022
Inactive	Dental Care Plus Inc.	301495	Agent - Health	8/1/2017	5/16/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/26/2021	5/16/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/17/2017	5/16/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/17/2017	5/16/2022
Inactive	Health Resources Inc.	301210	Agent - Health	5/29/2018	5/16/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/8/2021	5/16/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/8/2021	5/16/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/31/2015	5/16/2022
Inactive	Humana Insurance Company	301104	Agent - Health	3/31/2015	5/16/2022
Inactive	Humana Insurance Company	301104	Agent - Life	3/31/2015	5/16/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/8/2021	5/16/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/8/2021	5/16/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/8/2021	5/16/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/8/2021	5/16/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/31/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/31/2015	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/10/2018	5/16/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/10/2018	5/16/2022
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	3/27/2019	4/25/2019
Inactive	Reserve National Insurance Company	301073	Agent - Health	9/20/2018	5/16/2022
Inactive	Reserve National Insurance Company	301073	Agent - Life	9/20/2018	5/16/2022
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	3/11/2019	5/16/2022
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/11/2019	5/16/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/24/2015	12/2/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/24/2015	12/2/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/24/2015	5/16/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/24/2015	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	7/8/2016	2/9/2018
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	7/8/2016	2/9/2018
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/24/2015	5/16/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/24/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/20/2015	11/2/2016
Inactive	E M Ford & Co LLC	399301	Agent - Life	8/9/2019	11/10/2020
Inactive	E M Ford & Co LLC	399301	Agent - Health	8/9/2019	11/10/2020
Denied	E M Ford & Co LLC	399301	Agent - Casualty
Denied	E M Ford & Co LLC	399301	Agent - Property
Inactive	FSAB, LLC	576450	Agent - Life	3/24/2015	5/16/2022
Inactive	FSAB, LLC	576450	Agent - Health	3/20/2015	5/16/2022
Inactive	Medlink Inc	400721	Agent - Life	7/2/2018	5/16/2022
Inactive	Medlink Inc	400721	Agent - Health	6/17/2016	5/16/2022