DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaufman, Samuel J	DOIID	536693	NAIC NPN	428215

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/6/2001		1/31/2026
Active	Non Resident	Agent	Health	8/25/2014		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acacia Life Insurance Company	300375	Agent - Life	12/16/2008	8/24/2012
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/24/2021	11/5/2024
Active	Banner Life Insurance Company	301696	Agent - Life	9/6/2001
Active	Equitable Financial Life Insurance Company	300808	Agent - Life	7/28/2004
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	3/30/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/1/2009	4/18/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/26/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/23/2001	12/18/2012
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/14/2004	8/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Agent Support Services LLC	1087785	Agent - Life	6/30/2020	1/27/2021
Inactive	Agent Support Services LLC	1087785	Agent - Health	6/30/2020	1/27/2021