DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mohr, Samantha Renee	DOIID	1328534	NAIC NPN	19422509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/8/2024		7/31/2026
Active	Non Resident	Agent	Property	3/8/2024		7/31/2026
* 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	3/22/2024
Active	American Strategic Insurance Corp	883540	Agent - Property	3/22/2024
Active	Bristol West Insurance Company	301655	Agent - Casualty	4/12/2024
Active	Bristol West Insurance Company	301655	Agent - Property	4/12/2024
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	4/9/2024
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	4/9/2024
Active	CSAA General Insurance Company	606675	Agent - Casualty	4/9/2024
Active	CSAA General Insurance Company	606675	Agent - Property	4/9/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/12/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	3/22/2024
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	3/22/2024