DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petter, Samantha Nicole	DOIID	901225	NAIC NPN	17799631

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/6/2023	3/1/2025
Inactive	Resident	Agent	Life	6/6/2023	3/1/2025
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	7/6/2023	3/1/2025
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	1/13/2022	3/1/2023
Inactive	Eagle Life Insurance Company	701261	Agent - Life	12/30/2024	3/1/2025
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/5/2022	3/1/2023
Inactive	Integrity Life Insurance Company	301687	Agent - Life	11/7/2022	3/1/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/13/2022	3/1/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/13/2022	3/1/2023
Inactive	Midland National Life Insurance Company	300923	Agent - Life	11/5/2023	3/1/2025
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	1/17/2024	3/1/2025
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/12/2023	3/1/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/12/2023	3/1/2023
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	6/6/2023	3/1/2025
Inactive	Standard Insurance Company	300185	Agent - Health	6/9/2023	3/1/2025
Inactive	Standard Insurance Company	300185	Agent - Life	6/9/2023	3/1/2025
Inactive	State Life Insurance Company	301497	Agent - Health	10/2/2023	3/1/2025
Inactive	State Life Insurance Company	301497	Agent - Life	10/2/2023	3/1/2025
Inactive	United Life Insurance Company	664766	Agent - Life	8/10/2022	3/1/2023
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	11/7/2022	3/1/2023
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	11/7/2022	3/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	1/13/2022	3/1/2023
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	9/26/2022	3/1/2023