DEPARTMENT OF INSURANCE

Affiliations

Name	Fleet, Samuel H	DOIID	374087	NAIC NPN	61040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	1/11/2005		2/28/2027
Active	Non Resident	Agent	Health	2/21/1997		2/28/2027
Active	Non Resident	Agent	Life	2/21/1997		2/28/2027
Inactive	Non Resident	Agent	Health Maintenance Organization	7/11/1997	12/1/2000
* 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
Administrator	12/15/2026	02/28/2027
Agent	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	7/11/1997	12/1/2000
Inactive	Aetna Health Inc.	300694	Agent - Health	8/25/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/25/2006	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/25/2006	7/8/2021
Active	American General Life Insurance Company	301585	Agent - Health	11/26/2019
Active	American General Life Insurance Company	301585	Agent - Life	11/26/2019
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/29/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/29/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/29/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/29/2023	4/15/2025
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	5/31/2002	8/29/2003
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/13/2001	11/22/2008
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	8/21/2001	3/31/2019
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	4/4/2013	12/29/2025
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/4/2013	12/29/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/22/2004	3/20/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/22/2004	3/20/2006
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/21/2013	3/14/2019
Active	Companion Life Insurance Company	300191	Agent - Health	1/29/2009
Active	Companion Life Insurance Company	300191	Agent - Life	1/29/2009
Inactive	Continental American Insurance Company	301700	Agent - Health	9/10/2007	10/20/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	9/10/2007	10/20/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/21/2013	12/19/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/13/2011	7/8/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/12/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/12/2010	12/26/2012
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/16/2004
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/16/2004
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/10/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/21/2013	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	4/10/2014	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	4/10/2014	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/10/2014	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/10/2014	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/25/2011	8/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/25/2011	8/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/21/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/21/2013	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/8/2014	5/20/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/8/2014	5/20/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/1/2010	5/26/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/1/2010	5/26/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/16/2010	12/26/2012
Inactive	NOVA Casualty Company	622806	Agent - Health	4/2/2009	2/13/2012
Active	New York Life Insurance Company	300431	Agent - Health	6/23/2006
Active	New York Life Insurance Company	300431	Agent - Life	6/23/2006
Inactive	Omaha Insurance Company	751908	Agent - Health	4/17/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/2/2011	11/3/2011
Inactive	Security Life Insurance Company of America	300936	Agent - Health	7/27/2006	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	7/27/2006	12/31/2016
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	6/16/2014	1/26/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	10/20/2011	8/26/2016
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	3/17/2010	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	3/17/2010	10/1/2015
Inactive	Time Insurance Company	300683	Agent - Health	4/2/2002	3/1/2007
Inactive	Time Insurance Company	300683	Agent - Life	4/2/2002	3/1/2007
Inactive	Transamerica Assurance Company	300893	Agent - Health	2/17/2004	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	2/17/2004	10/1/2004
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/15/2008
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/15/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/16/2001	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/16/2001	10/1/2020
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	12/1/2012	11/24/2015
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	12/1/2012	11/24/2015
Active	United American Insurance Company	300910	Agent - Health	9/6/2012
Active	United American Insurance Company	300910	Agent - Life	9/6/2012
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	3/25/2008
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	3/25/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/16/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/16/2010	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/2/2011	1/26/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/28/2002	11/21/2005
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	1/26/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/28/2002	11/21/2005
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/2/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	1/26/2018
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	2/14/2002	3/16/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	2/14/2002	3/16/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	3/10/1997	12/10/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	3/10/1997	12/10/2001
Active	AmWINS Group Benefits, LLC	521331	Agent - Life	5/10/2004
Active	AmWINS Group Benefits, LLC	521331	Agent - Health	5/10/2004
Active	AmWINS Group Benefits, LLC	521331	Administrator - Not Applicable	1/11/2005
Active	AmWINS Group Benefits, LLC	521331	Administrator - Not Applicable	12/21/2016
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/30/1999	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/30/1999	6/21/2008