DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pierce, Samuel J	DOIID	936555	NAIC NPN	18196880

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/22/2016	10/1/2018
Inactive	Resident	Agent	Health	11/22/2016	10/1/2018
* 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	American Memorial Life Insurance Company	301445	Agent - Life	5/25/2017	10/9/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	12/13/2016	3/27/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	12/13/2016	3/27/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/10/2017	10/1/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/10/2017	10/1/2018
Inactive	Independent Order of Foresters	300743	Agent - Life	4/13/2017	10/1/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/3/2017	8/13/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/3/2017	8/13/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/21/2017	2/22/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/21/2017	2/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	12/15/2016	4/4/2017
Inactive	Ushealth Advisors Llc	713288	Agent - Health	12/15/2016	4/4/2017