DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Samantha Michelle	DOIID	1233361	NAIC NPN	20220546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/28/2022		4/30/2026
Active	Non Resident	Agent	Life	3/8/2024		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/10/2023	8/1/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/5/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	8/5/2025
Inactive	American General Life Insurance Company	301585	Agent - Health	11/16/2022	7/8/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/9/2024	5/5/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/9/2024	5/5/2025
Inactive	CMFG Life Insurance Company	300929	Agent - Health	3/22/2024	7/24/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Life	3/22/2024	7/24/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/18/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/9/2024	5/5/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/7/2024
Inactive	EMC National Life Company	300388	Agent - Life	3/13/2025	9/8/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/4/2025
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/29/2022	12/27/2022
Active	SilverScript Insurance Company	663526	Agent - Health	8/5/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/18/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/29/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	7/24/2024	11/22/2024
Denied	Gohealth LLC	691445	Agent - Life