DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sams, Daniel J	DOIID	314043	NAIC NPN	7162041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	5/9/2023		2/28/2027
Active	Resident	Agent	Casualty	5/9/2023		2/28/2027
Active	Resident	Agent	Property	5/9/2023		2/28/2027
Active	Resident	Agent	Life	5/9/2023		2/28/2027
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	General Lines	7/16/1998	8/15/2000
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	5/23/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	7/16/1998	8/15/2000
Active	State Farm Fire and Casualty Company	301809	Agent - Property	5/23/2023
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	11/19/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	7/16/1998	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	11/19/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	5/23/2023
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	5/23/2023
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	7/16/1998	8/15/2000
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	5/23/2023
Inactive	Time Insurance Company	300683	Agent - Health	4/5/2011	7/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Life	5/23/2023
Active	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Health	5/23/2023
Active	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Property	5/23/2023
Active	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Casualty	5/23/2023