black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMANTHA M. MOORE

PRODUCER NON-RESIDENT

License Number:
PRN165822
Status:
First Licensure:
04/28/2009
Cancel Date:
None

Mailing:
SPRING, TX 77389
Phone:
+1 (413) 312-6212
Fax:
+1 (781) 891-0935
Email:
samie.moore@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/28/2009

Agency

Name Issue Date License Number Expiration Date Cancel Date
EDGEWOOD PARTNERS INSURANCE CENTER
12/13/2017 AGN42693 03/08/2018
MERCER HEALTH & BENEFITS LLC
07/08/2011 AGN113379
WILLIS TOWERS WATSON US LLC
07/10/2023 AGN130560

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
05/17/2013 LHF804 10/13/2020
METROPOLITAN LIFE INSURANCE COMPANY
12/04/2009 LHF380 06/14/2011
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
05/08/2019 LHF250
STARMOUNT LIFE INSURANCE COMPANY
05/08/2019 LHD131525
UNITEDHEALTHCARE INSURANCE COMPANY
07/11/2011 LHF700 03/19/2014
UNUM INSURANCE COMPANY
05/08/2019 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
05/08/2019 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 04/28/2009 Active
LIFE 04/28/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
10696689

Other Addresses

Address Type
555 17TH ST STE 2050
DENVER, CO 80202-3975
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/18/2025 03:42:40 PM