DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fresno, Samantha Grecia	DOIID	1295099	NAIC NPN	20671798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2023		4/30/2026
Active	Non Resident	Agent	Life	10/16/2023		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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/6/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/6/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/6/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/26/2023	6/24/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/26/2023	6/24/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/16/2025	10/22/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/16/2025	10/22/2025
Inactive	CMFG Life Insurance Company	300929	Agent - Life	2/23/2024	7/9/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2025	10/22/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/6/2023
Inactive	Tier One Insurance Company	301056	Agent - Health	6/8/2024	6/20/2025
Inactive	Tier One Insurance Company	301056	Agent - Life	6/8/2024	6/20/2025
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/7/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Health	10/20/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Life	10/26/2023	7/9/2025