DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Samantha Nicole	DOIID	1142314	NAIC NPN	19591684

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/29/2021		8/31/2026
Active	Non Resident	Agent	Casualty	6/29/2021		8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	06/12/2024	06/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/14/2021	12/20/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/14/2021	12/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bin Insurance Holdings LLC	728102	Agent - Casualty	2/10/2022	12/20/2023
Inactive	Bin Insurance Holdings LLC	728102	Agent - Property	2/10/2022	12/20/2023
Inactive	Specialty Program Group LLC	937234	Agent - Casualty	10/12/2022	12/20/2023
Inactive	Specialty Program Group LLC	937234	Agent - Property	10/12/2022	12/20/2023