DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Caspers, Samuel Hayden	DOIID	1134564	NAIC NPN	19896777

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/5/2023	7/1/2024
Inactive	Non Resident	Agent	Life	1/5/2023	7/1/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/13/2021	5/31/2023
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Care Plus Inc.	301495	Agent - Health	2/3/2023	7/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Direct Benefits, An Alera Group Agency, Llc	1126744	Agent - Life
Inactive	Direct Benefits, An Alera Group Agency, Llc	1126744	Agent - Health	2/3/2023	3/24/2023