PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameClayland Jr, Samuel RDOIID919226NAIC NPN966205
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/23/2016 9/30/2025
ActiveNon ResidentAgentLife6/23/2016 9/30/2025
* 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
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health3/10/202211/17/2023
InactiveAmerican General Life Insurance Company301585Agent - Health3/7/202210/14/2023
InactiveAmerican General Life Insurance Company301585Agent - Life3/7/202210/14/2023
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/9/202210/19/2022
InactiveFreedom Life Insurance Company of America300074Agent - Health7/11/20166/15/2023
InactiveFreedom Life Insurance Company of America300074Agent - Life7/11/20166/15/2023
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health11/17/2023 
ActivePhiladelphia American Life Insurance Company300178Agent - Health11/7/2022 
ActivePhiladelphia American Life Insurance Company300178Agent - Life11/7/2022 
ActiveStandard Life and Casualty Insurance Company301699Agent - Health11/17/2023 
ActiveTier One Insurance Company301056Agent - Health4/23/2025 
ActiveTier One Insurance Company301056Agent - Life4/23/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUshealth Advisors Llc713288Agent - Life7/12/20166/15/2023
InactiveUshealth Advisors Llc713288Agent - Health7/12/20166/15/2023

© Commonwealth of Kentucky. All rights reserved.