DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rognstad, Samuel Whitefield	DOIID	952444	NAIC NPN	17594857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/26/2017	2/28/2019
Inactive	Non Resident	Agent	Health	4/26/2017	2/28/2019
* 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	5/23/2017	4/30/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/23/2017	4/30/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/23/2017	4/30/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/23/2017	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lovitt & Touche Inc	535777	Agent - Life	10/9/2017	2/28/2019
Inactive	Lovitt & Touche Inc	535777	Agent - Health	10/9/2017	2/28/2019
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	5/23/2017	10/12/2018
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	5/23/2017	10/12/2018