DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mock, Samuel C	DOIID	1124360	NAIC NPN	19203285

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/12/2021		1/31/2026
Active	Non Resident	Agent	Health	3/12/2021		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
Active	American General Life Insurance Company	301585	Agent - Health	2/29/2024
Active	American General Life Insurance Company	301585	Agent - Life	2/29/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/25/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/25/2022
Active	Minnesota Life Insurance Company	300488	Agent - Health	4/2/2024
Active	Minnesota Life Insurance Company	300488	Agent - Life	4/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cetera Wealth Services LLC	400814	Agent - Life	9/14/2023
Active	Cetera Wealth Services LLC	400814	Agent - Health	9/14/2023