DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mayberger, Samuel A	DOIID	1014553	NAIC NPN	18097129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/12/2018	9/30/2023
Inactive	Non Resident	Agent	Health	10/12/2018	9/30/2023
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	4/4/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	4/4/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	4/11/2019	8/11/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	10/25/2020	9/30/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/18/2019	4/5/2022
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	4/1/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/6/2020	4/15/2022
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/26/2020	12/15/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/16/2018	4/4/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	2/25/2019	11/22/2021
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	2/25/2019	8/8/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/8/2019	4/21/2022
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	1/14/2019	9/30/2023
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	1/11/2019	8/8/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	11/22/2019	1/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/23/2019	4/4/2022
Inactive	Western United Life Insurance Company	659052	Agent - Health	11/21/2018	9/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019	10/4/2021
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019	10/4/2021