DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rodriguez III, Samuel	DOIID	1029101	NAIC NPN	18475930

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/15/2019		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	4/14/2023	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/4/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/10/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/4/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/4/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/23/2019	5/16/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/8/2020	6/16/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/5/2022	8/2/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/4/2019	2/27/2020
Inactive	Humana Insurance Company	301104	Agent - Health	12/5/2022	8/2/2024
Active	SilverScript Insurance Company	663526	Agent - Health	7/4/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/20/2023	2/13/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/26/2023	2/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/23/2019	5/18/2021
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	5/31/2019	2/14/2020