DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Baer, Samuel	DOIID	792318	NAIC NPN	16789994

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/20/2024		11/30/2026
Inactive	Non Resident	Agent	Health	9/25/2012	11/30/2014
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2012	11/30/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2012	11/30/2014
Active	Transamerica Life Insurance Company	300571	Agent - Life	2/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/1/2012	11/30/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/1/2012	11/30/2014