DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stern, Samuel Johl	DOIID	1180678	NAIC NPN	8831909

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/30/2021		2/28/2026
Active	Non Resident	Agent	Casualty	12/30/2021		2/28/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/29/2022		2/28/2026
* 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	12/15/2025	02/28/2026
Surplus Lines Broker	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arch Insurance Company	300688	Agent - Casualty	1/18/2024
Active	Arch Insurance Company	300688	Agent - Property	1/18/2024
Active	Zurich American Insurance Company	301121	Agent - Casualty	1/11/2022
Active	Zurich American Insurance Company	301121	Agent - Property	1/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	1/20/2022
Active	Willis Towers Watson Southeast Inc	399919	Agent - Property	1/20/2022
Active	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	10/7/2022