DEPARTMENT OF INSURANCE
Affiliations
NameJensen, Samantha JoyDOIID1054027NAIC NPN17863923
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/29/2019 10/31/2026
ActiveNon ResidentAgentCasualty8/29/2019 10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202610/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHDI Global Insurance Company676678Agent - Casualty10/21/20192/11/2025
InactiveHDI Global Insurance Company676678Agent - Property10/21/20192/11/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArthur J. Gallagher Risk Management Services, LLC539806Agent - Casualty8/14/20201/22/2025
InactiveArthur J. Gallagher Risk Management Services, LLC539806Agent - Property8/14/20201/22/2025
InactiveCRES Insurance Services, LLC619610Agent - Casualty9/5/20193/31/2021
InactiveCRES Insurance Services, LLC619610Agent - Property9/5/20193/31/2021
InactiveGallagher Affinity Insurance Services, Inc.397758Agent - Casualty4/15/20241/22/2025
InactiveGallagher Affinity Insurance Services, Inc.397758Agent - Property4/15/20241/22/2025

© Commonwealth of Kentucky. All rights reserved.