DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dodge, Samantha Brooke	DOIID	982658	NAIC NPN	18675833

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/29/2018		12/31/2024
Active	Non Resident	Agent	Life	1/29/2018		12/31/2024
* 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	10/15/2024	12/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Turnkey Benefit Insurance Services, Inc.	602446	Agent - Health
Denied	Turnkey Benefit Insurance Services, Inc.	602446	Agent - Life