DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Russell, Samuel A	DOIID	1336704	NAIC NPN	19870185

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	4/23/2024		10/31/2025
Pending Replacement	Non Resident	Agent	Casualty	4/23/2024		10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Zurich American Insurance Company	301121	Agent - Casualty	5/17/2024
Pending Replacement	Zurich American Insurance Company	301121	Agent - Property	5/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	5/28/2024	7/17/2025
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	5/28/2024	7/17/2025