DEPARTMENT OF INSURANCE

Affiliations

Name	Sampson, Brenda P	DOIID	926016	NAIC NPN	8783034

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/25/2016	6/7/2017
Inactive	Non Resident	Agent	Health	8/25/2016	6/7/2017
Inactive	Non Resident	Agent	Property	8/24/2018	4/30/2021
Inactive	Non Resident	Agent	Casualty	8/24/2018	4/30/2021
* 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	2/27/2017	6/7/2017
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/7/2017	6/7/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/27/2017	6/7/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/27/2017	6/7/2017
Denied	American Continental Insurance Company	643130	Agent - Life
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/2/2016	6/7/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/2/2016	6/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/12/2018	5/8/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/12/2018	5/8/2019
Denied	Combined Insurance Company of America	301472	Agent - Health
Denied	Combined Insurance Company of America	301472	Agent - Life
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/7/2017	6/7/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/27/2017	6/7/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/18/2018	5/8/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/18/2018	5/8/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/1/2016	6/7/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/1/2016	6/7/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/1/2016	6/7/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/1/2016	6/7/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/1/2016	6/7/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/1/2016	6/7/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/7/2017
Denied	Unified Life Insurance Company	543169	Agent - Health
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/11/2016	7/17/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/11/2016	7/17/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/11/2016	7/17/2017

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 - Life	11/9/2016	6/7/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/9/2016	6/7/2017
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Property	9/12/2018	11/27/2018
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Casualty	9/12/2018	11/27/2018