DEPARTMENT OF INSURANCE
Affiliations
NamePetter, Samantha NicoleDOIID901225NAIC NPN17799631
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities9/29/2026 2/28/2029
ActiveNon ResidentAgentLife9/29/2026 2/28/2029
InactiveResidentAgentHealth6/6/20233/1/2025 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life10/5/2026 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities10/7/2026 
InactiveCincinnati Life Insurance Company (The)300601Agent - Life1/13/20223/1/2023
InactiveEagle Life Insurance Company701261Agent - Life12/30/20243/1/2025
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life8/5/20223/1/2023
InactiveIntegrity Life Insurance Company301687Agent - Life11/7/20223/1/2023
ActiveJackson National Life Insurance Company300486Agent - Life9/29/2026 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities9/29/2026 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/13/20223/1/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/13/20223/1/2023
InactiveMidland National Life Insurance Company300923Agent - Life11/5/20233/1/2025
InactiveOceanview Life and Annuity Company301868Agent - Life1/17/20243/1/2025
InactiveProtective Life Insurance Company300638Agent - Health1/12/20233/1/2023
InactiveProtective Life Insurance Company300638Agent - Life1/12/20233/1/2023
InactiveS.USA Life Insurance Company, Inc.301774Agent - Life6/6/20233/1/2025
InactiveStandard Insurance Company300185Agent - Health6/9/20233/1/2025
InactiveStandard Insurance Company300185Agent - Life6/9/20233/1/2025
InactiveState Life Insurance Company301497Agent - Health10/2/20233/1/2025
InactiveState Life Insurance Company301497Agent - Life10/2/20233/1/2025
InactiveUnited Life Insurance Company664766Agent - Life8/10/20223/1/2023
InactiveWestern-Southern Life Assurance Company301590Agent - Health11/7/20223/1/2023
InactiveWestern-Southern Life Assurance Company301590Agent - Life11/7/20223/1/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life1/13/20223/1/2023
InactiveFifth Third Insurance Agency Inc399341Agent - Health9/26/20223/1/2023

© Commonwealth of Kentucky. All rights reserved.