DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Banken, Samantha Lee	DOIID	911527	NAIC NPN	17631006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/1/2016	11/30/2018
Inactive	Non Resident	Agent	Life	4/1/2016	11/30/2018
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	5/25/2016	9/14/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/25/2016	9/14/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/25/2016	9/14/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/25/2016	9/14/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Yourpeople Inc	844313	Agent - Life	5/31/2016	8/17/2016
Inactive	Yourpeople Inc	844313	Agent - Health	5/31/2016	8/17/2016