DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Samuel D	DOIID	969131	NAIC NPN	18479267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/22/2017	3/31/2027
Active	Non Resident	Agent	Health	9/22/2017	3/31/2027
* 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	01/15/2025	03/31/2025	02/12/2025	02/12/2025	Yes

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	Aetna Health and Life Insurance Company	300523	Agent - Health	4/20/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	4/20/2020	12/6/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/20/2018	7/26/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/20/2018	7/26/2022
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	4/22/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/1/2017	12/21/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/20/2020
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	11/1/2017	9/24/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/6/2018	11/25/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/6/2018	11/25/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/3/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/3/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/3/2017	6/8/2018
Active	Symetra Life Insurance Company	301691	Agent - Health	10/3/2023
Active	Symetra Life Insurance Company	301691	Agent - Life	10/3/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/19/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/19/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2017	1/18/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/29/2017	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/18/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/29/2017	1/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/25/2018	4/21/2022
Active	SelectQuote Insurance Services	533194	Agent - Life	6/25/2018
Active	SelectQuote Insurance Services	533194	Agent - Health	6/25/2018