DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Doerr, Samantha	DOIID	999234	NAIC NPN	18824506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/27/2018	10/31/2020
Inactive	Non Resident	Agent	Life	6/27/2018	10/31/2020
* 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	Gerber Life Insurance Company	300529	Agent - Health	7/17/2018	8/22/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/17/2018	8/22/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/30/2019	11/3/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/30/2019	11/3/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/12/2018	8/22/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	8/22/2019