DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzales, Samantha	DOIID	1213280	NAIC NPN	20374891

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/27/2022		3/31/2027
Active	Non Resident	Agent	Life	6/27/2022		3/31/2027
* 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	01/15/2027	03/31/2027

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	7/13/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/13/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/13/2022
Active	Humana Insurance Company	301104	Agent - Health	11/21/2022
Active	SilverScript Insurance Company	663526	Agent - Health	7/13/2022
Inactive	USAA Life Insurance Company	300734	Agent - Health	6/29/2022	3/9/2026
Inactive	USAA Life Insurance Company	300734	Agent - Life	6/29/2022	3/9/2026
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/5/2023	4/4/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Life General Agency Inc	399318	Agent - Life	5/24/2023	3/9/2026
Inactive	USAA Life General Agency Inc	399318	Agent - Health	5/24/2023	3/9/2026