DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perales, Samantha Rosalinda	DOIID	929254	NAIC NPN	18103626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/31/2019		1/31/2027
Inactive	Non Resident	Agent	Life	9/14/2016	1/31/2019
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/26/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/26/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/26/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/27/2016	1/31/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/27/2016	1/31/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/3/2018	1/31/2019
Active	SilverScript Insurance Company	663526	Agent - Health	8/26/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	eHealthInsurance Services Inc.	514105	Agent - Health