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DEPARTMENT OF INSURANCE
Affiliations
Name
Smith, Samantha
DOIID
973133
NAIC NPN
18562180
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
10/17/2017
10/31/2019
Inactive
Non Resident
Agent
Life
10/17/2017
10/31/2019
* 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
Anthem Life Insurance Company
301209
Agent - Health
11/2/2017
6/22/2018
Inactive
Anthem Life Insurance Company
301209
Agent - Life
11/2/2017
6/22/2018
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
11/20/2017
10/31/2019
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 - Health
11/2/2017
6/22/2018
Inactive
Designated Agent Company Inc.
681257
Agent - Life
11/2/2017
6/22/2018
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