DEPARTMENT OF INSURANCE
Affiliations
NameAndrade, Samantha DOIID824763NAIC NPN16862788
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/22/2024 2/28/2026
ActiveNon ResidentAgentLife3/22/2024 2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202502/28/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health10/28/20132/29/2016
InactiveAnthem Life Insurance Company301209Agent - Life10/28/20132/29/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health1/30/20146/24/2014
InactiveDental Concern Inc. (The)301641Agent - Health1/27/20146/24/2014
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/30/20146/24/2014
InactiveHumana Health Plan, Inc.300142Agent - Health1/30/20146/24/2014
InactiveHumana Insurance Company301104Agent - Health1/27/20146/24/2014
InactiveHumana Insurance Company301104Agent - Life1/27/20146/24/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/27/20146/24/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/27/20146/24/2014
InactiveKanawha Insurance Company300127Agent - Health1/30/20146/24/2014
InactiveKanawha Insurance Company300127Agent - Life1/30/20146/24/2014
ActiveTransamerica Life Insurance Company300571Agent - Health9/6/2024 
ActiveTransamerica Life Insurance Company300571Agent - Life9/6/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life10/28/20133/15/2016
InactiveDesignated Agent Company Inc.681257Agent - Health10/28/20133/15/2016

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