DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Terrell, Samantha N	DOIID	926865	NAIC NPN	18081109

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2016		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/20/2017	12/20/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/19/2016	6/8/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/19/2016	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/1/2021	12/20/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/19/2016	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/19/2016	12/20/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/19/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/26/2018	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/10/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	3/6/2017	12/5/2022