DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bryant, Samuel	DOIID	1299547	NAIC NPN	20828371

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/19/2023		1/31/2028
* 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	01/14/2026	01/14/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Arcadian Health Plan, Inc.	728196	Agent - Health	11/17/2023
Pending Replacement	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/26/2024
Pending Replacement	Humana Insurance Company	301104	Agent - Health	11/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	TZ Insurance Solutions LLC	727470	Agent - Health	1/15/2025
Inactive	Trubridge Inc	717747	Agent - Health	12/18/2023	1/15/2025