DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Westfall, Sam M	DOIID	302552	NAIC NPN	1450112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/29/1997		8/31/2024
Active	Resident	Agent	Property	8/15/2000		8/31/2024
Active	Resident	Agent	Casualty	8/15/2000		8/31/2024
Active	Resident	Agent	Life	4/29/1997		8/31/2024
Inactive	Resident	Agent	General Lines	4/29/1997	8/15/2000
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/29/2018
Active	Bristol West Insurance Company	301655	Agent - Property	10/29/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/2/2006	1/23/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/16/2011	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/16/2011	12/20/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/2/2012
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/2/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/2/2012	12/2/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/2/2012	12/2/2013
Active	Shelter General Insurance Company	301109	Agent - Casualty	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	4/29/1997	8/15/2000
Active	Shelter General Insurance Company	301109	Agent - Property	8/15/2000
Active	Shelter Life Insurance Company	300391	Agent - Health	4/29/1997
Active	Shelter Life Insurance Company	300391	Agent - Life	4/29/1997
Active	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	4/29/1997	8/15/2000
Active	Shelter Mutual Insurance Company	301870	Agent - Property	8/15/2000
Active	United Financial Casualty Company	301886	Agent - Casualty	4/2/2012
Active	United Financial Casualty Company	301886	Agent - Property	4/2/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Daniel Boone Agency, LLC.	515760	Agent - Life	4/19/2001
Active	Daniel Boone Agency, LLC.	515760	Agent - Health	4/19/2001
Active	Daniel Boone Agency, LLC.	515760	Agent - Property	8/15/2000
Active	Daniel Boone Agency, LLC.	515760	Agent - Casualty	8/15/2000
Active	Sam Westfall Agency Inc.	657443	Agent - Life	6/13/2007
Active	Sam Westfall Agency Inc.	657443	Agent - Health	6/13/2007
Active	Sam Westfall Agency Inc.	657443	Agent - Property	6/13/2007
Active	Sam Westfall Agency Inc.	657443	Agent - Casualty	6/13/2007