DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Damrad, Samantha	DOIID	893168	NAIC NPN	17275784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/25/2015	11/4/2016
Inactive	Non Resident	Agent	Life	9/25/2015	11/4/2016
* 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	New York Life Insurance Company	300431	Agent - Health	10/16/2015	12/3/2015
Inactive	New York Life Insurance Company	300431	Agent - Life	10/16/2015	12/3/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	10/20/2015	12/3/2015
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	10/20/2015	12/3/2015