DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jensen, Samantha Joy	DOIID	1054027	NAIC NPN	17863923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/29/2019		10/31/2024
Active	Non Resident	Agent	Casualty	8/29/2019		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HDI Global Insurance Company	676678	Agent - Casualty	10/21/2019
Active	HDI Global Insurance Company	676678	Agent - Property	10/21/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	8/14/2020
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	8/14/2020
Inactive	CRES Insurance Services, LLC	619610	Agent - Casualty	9/5/2019	3/31/2021
Inactive	CRES Insurance Services, LLC	619610	Agent - Property	9/5/2019	3/31/2021
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Casualty	4/15/2024
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Property	4/15/2024