DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Massey, Samuel E	DOIID	558397	NAIC NPN	645456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/4/2002		8/31/2026
Active	Non Resident	Agent	Health	8/6/2009		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/9/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	10/20/2005	10/25/2012
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/23/2007	8/10/2015
Active	Banner Life Insurance Company	301696	Agent - Life	7/13/2017
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	6/24/2005	12/1/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/13/2014	2/1/2017
Active	Gerber Life Insurance Company	300529	Agent - Life	1/13/2014
Inactive	Independent Order of Foresters	300743	Agent - Life	7/17/2007	8/14/2009
Active	Life Insurance Company of the Southwest	301867	Agent - Health	5/13/2020
Active	Life Insurance Company of the Southwest	301867	Agent - Life	5/13/2020
Active	North American Company for Life and Health Insurance	300291	Agent - Life	4/22/2012
Active	Protective Life Insurance Company	300638	Agent - Life	11/4/2002
Active	Pruco Life Insurance Company	300954	Agent - Life	2/11/2016
Active	State Life Insurance Company	301497	Agent - Health	6/16/2016
Active	State Life Insurance Company	301497	Agent - Life	6/16/2016
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	5/12/2004	10/2/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Agents Marketing Group The	644935	Agent - Life	8/6/2009
Active	Agents Marketing Group The	644935	Agent - Health	8/6/2009
Active	Cetera Wealth Services LLC	400814	Agent - Life	2/24/2025
Active	Cetera Wealth Services LLC	400814	Agent - Health	2/24/2025
Inactive	Insurance Designers Of America , LLC	583874	Agent - Life	9/15/2011	6/1/2023