DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Samantha Rose	DOIID	1113018	NAIC NPN	19722491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/7/2020		1/31/2025
Active	Non Resident	Agent	Casualty	12/7/2020		1/31/2025
Active	Non Resident	Staff Adjuster	Property & Casualty	3/19/2024		1/31/2027
* 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	11/15/2024	01/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Delta Defense LLC	982519	Agent - Casualty
Denied	Delta Defense LLC	982519	Agent - Property