DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pazol, Samuel Anthony	DOIID	978952	NAIC NPN	18509642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/11/2017	8/31/2020
* 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	Aetna Health and Life Insurance Company	300523	Agent - Health	4/26/2018	8/31/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/5/2019	7/23/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/26/2018	8/31/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/4/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/4/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/4/2018	12/10/2018
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/23/2018	12/29/2018
Inactive	United Concordia Insurance Company	903543	Agent - Health	4/2/2020	8/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/12/2018	4/2/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	3/12/2018	4/2/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/12/2018	4/2/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/27/2019	8/31/2020