DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Samuels, Evalynne	DOIID	1097600	NAIC NPN	18585985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/17/2023		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/26/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/26/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/26/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/26/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/7/2020	9/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/20/2020	9/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	2/11/2025