PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameMathis, Samantha DOIID1131875NAIC NPN19886592
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty4/28/20216/30/2023 
InactiveNon ResidentAgentCasualty4/28/20216/30/2023 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational General Insurance Company300152Agent - Casualty5/3/202111/30/2021
InactiveNational General Insurance Company300152Agent - Property5/3/202111/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAffinity Brokerage, LLC544886Agent - Casualty5/11/202111/5/2021
InactiveAffinity Brokerage, LLC544886Agent - Property5/11/202111/5/2021
InactiveCWI, LLC662170Agent - Casualty5/11/202111/30/2021
InactiveCWI, LLC662170Agent - Property5/11/202111/30/2021
InactiveNational General Ins Marketing Inc621228Agent - Casualty5/11/202111/5/2021
InactiveNational General Ins Marketing Inc621228Agent - Property5/11/202111/5/2021

© Commonwealth of Kentucky. All rights reserved.