DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rubin, Samuel	DOIID	1262930	NAIC NPN	20642676

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/16/2023		3/31/2027
Active	Non Resident	Agent	Life	3/16/2023		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	01/15/2025	03/31/2025	02/05/2025	02/05/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	3/23/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	3/23/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	3/23/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/23/2023
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/26/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/23/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/23/2023
Inactive	Elips Life Insurance Company	301087	Agent - Health	3/28/2023	3/6/2024
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	1/9/2025
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	3/3/2025
Active	Tier One Insurance Company	301056	Agent - Health	3/23/2023
Active	Tier One Insurance Company	301056	Agent - Life	3/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Life	3/30/2023
Active	Spring Ins Solutions LLC	788951	Agent - Health	3/30/2023