DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AXIS Insurance Company	301290	Agent - Casualty	2/19/2025
Active	AXIS Insurance Company	301290	Agent - Property	2/19/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	3/22/2024	2/18/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Property	3/22/2024	2/18/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/12/2024	2/20/2025
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/12/2024	2/20/2025
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	4/9/2024	2/6/2025
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	4/9/2024	2/6/2025
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	4/9/2024	2/6/2025
Inactive	CSAA General Insurance Company	606675	Agent - Property	4/9/2024	2/6/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/12/2024	2/20/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/12/2024	2/20/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	3/22/2024	2/20/2025
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	3/22/2024	2/20/2025
Active	Fetch Insurance Services LLC	705274	Agent - Casualty	10/28/2025
Active	Fetch Insurance Services LLC	705274	Agent - Property	10/28/2025