DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Yates, Samantha	DOIID	881508	NAIC NPN	17630539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/14/2021	8/1/2022
Active	Resident	Independent Adjuster	Workers' Compensation	12/14/2022		7/31/2026
Inactive	Resident	Staff Adjuster	Workers' Compensation	7/28/2015	11/7/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	05/15/2026	07/31/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Corvel Enterprise Claims, Inc.	701111	Independent Adjuster - Workers' Compensation	10/27/2025
Active	Corvel Enterprise Claims, Inc.	701111	Independent Adjuster - Workers' Compensation	10/30/2025