DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Simpson, Samuel B	DOIID	908944	NAIC NPN	17875458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/10/2017	3/1/2018
Inactive	Resident	Agent	Life	2/6/2017	3/1/2018
Inactive	Resident	Agent	Limited Line Credit	5/2/2016	2/28/2018
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/23/2016	9/30/2016
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	3/17/2017	4/19/2017
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	2/13/2017	4/19/2017
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	2/13/2017	4/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Central Bank & Trust Company	398350	Agent - Limited Line Credit	6/14/2016	8/24/2016