DEPARTMENT OF INSURANCE

Affiliations

Name	Levine, Samantha	DOIID	898230	NAIC NPN	17746196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/29/2023	12/31/2024
* 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	11/1/2019	12/31/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/20/2020	12/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/1/2019	12/31/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/10/2020	10/21/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	5/10/2018
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	10/12/2020	12/31/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/27/2019	12/31/2020
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/5/2024	10/19/2024
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/12/2020	12/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/27/2016	12/10/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/6/2017	5/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/6/2017	5/10/2018
Inactive	Life Insurance Company of North America	300711	Agent - Health	10/12/2020	12/31/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/1/2019	12/31/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/3/2023	11/9/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/3/2023	11/9/2023

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	7/10/2020	10/21/2020