DEPARTMENT OF INSURANCE

Affiliations

Name	Velasquez, Samantha A	DOIID	972758	NAIC NPN	18517076

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/19/2023		4/30/2026
Inactive	Non Resident	Agent	Life	10/13/2017	4/30/2020
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	4/30/2018	10/10/2019
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/22/2023	8/1/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/23/2018	4/30/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/22/2023	8/1/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/22/2023	8/1/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	5/23/2018	4/30/2020
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	4/14/2025
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	5/23/2018	12/18/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/23/2018	12/18/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/5/2023	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/5/2023	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/5/2023	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/22/2019	4/7/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/22/2019	4/7/2020
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/1/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	5/8/2018	4/30/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	5/8/2018	4/30/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	5/8/2018	4/30/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	5/8/2018	4/30/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/21/2023	7/15/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/5/2023	12/16/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/23/2018	4/30/2020
Inactive	Federal Insurance Company	301144	Agent - Health	11/8/2017	4/30/2020
Active	Humana Insurance Company	301104	Agent - Health	2/9/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	4/22/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/22/2023	8/1/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/21/2023	7/15/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/19/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/18/2019	12/19/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/21/2023	7/15/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/15/2024	2/28/2025

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	3/22/2019	4/30/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/22/2019	4/30/2020