DEPARTMENT OF INSURANCE
Affiliations
NameNoltemeyer, Samantha FDOIID979557NAIC NPN18649133
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth11/9/2020 12/31/2025
ActiveResidentAgentLife12/7/2020 12/31/2025
InactiveResidentAgentVariable Life and Variable Annuities12/22/20171/1/2020 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health3/22/2021 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life3/22/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/14/2021 
InactiveAnthem Life Insurance Company301209Agent - Health10/14/20214/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/14/20214/15/2025
ActiveCIGNA Health & Life Insurance Company301783Agent - Health8/4/2022 
InactiveCareSource Kentucky Co.838179Agent - Health11/8/20218/19/2024
InactiveJefferson National Life Insurance Company300258Agent - Life2/21/20183/12/2019
InactiveJefferson National Life Insurance Company300258Agent - Variable Life and Variable Annuities2/21/20183/12/2019
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health10/13/2021 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health9/29/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHyland Block & Hyland Inc.398511Agent - Life6/17/2021 
ActiveHyland Block & Hyland Inc.398511Agent - Health6/17/2021 

© Commonwealth of Kentucky. All rights reserved.