DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Samuels, Chessa J	DOIID	971418	NAIC NPN	18553309

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/12/2018		1/31/2026
Active	Non Resident	Agent	Property	1/12/2018		1/31/2026
Active	Non Resident	Agent	Health	10/6/2017		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	3/14/2018
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Property	3/14/2018
Active	USAA Casualty Insurance Company	300995	Agent - Casualty	3/14/2018
Active	USAA Casualty Insurance Company	300995	Agent - Property	3/14/2018
Active	USAA General Indemnity Company	300131	Agent - Casualty	3/14/2018
Active	USAA General Indemnity Company	300131	Agent - Property	3/14/2018
Active	United Services Automobile Association	300158	Agent - Casualty	3/14/2018
Active	United Services Automobile Association	300158	Agent - Property	3/14/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/6/2017	12/11/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/6/2017	12/11/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/6/2017	12/11/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ttec Financial Services Management LLC	881063	Agent - Property	3/14/2018
Active	Ttec Financial Services Management LLC	881063	Agent - Casualty	3/14/2018