DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sampat, Himmatsinh B	DOIID	874148	NAIC NPN	2488365

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/14/2017	12/31/2018
Inactive	Non Resident	Agent	Health	4/6/2015	12/31/2018
* 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 and Life Insurance Company	300523	Agent - Health	4/12/2017	12/31/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	4/12/2017	12/31/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/3/2015	12/31/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/11/2017	12/31/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/9/2015	3/23/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	12/31/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/8/2015	3/23/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/3/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/8/2015	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/8/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/8/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/8/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/8/2015	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/8/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/8/2015	10/22/2015
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	1/31/2017	12/31/2018
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	1/31/2017	12/31/2018

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 - Health	6/3/2015	12/31/2018
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	5/7/2015	12/31/2018