DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fauceglia, Samantha	DOIID	1303775	NAIC NPN	19568001

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/9/2023		10/31/2025
Active	Non Resident	Agent	Casualty	10/9/2023		10/31/2025
* 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
Active	American Strategic Insurance Corp	883540	Agent - Casualty	10/13/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	10/13/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/10/2023
Active	Bristol West Insurance Company	301655	Agent - Property	11/10/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	12/1/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	12/1/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	12/1/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	12/1/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	4/12/2024
Active	Dairyland Insurance Company	301370	Agent - Property	4/12/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/10/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Guided Insurance Solutions	1190269	Agent - Casualty	10/27/2023
Active	Guided Insurance Solutions	1190269	Agent - Property	10/27/2023