DEPARTMENT OF INSURANCE

Affiliations

Name	Sams, Franklin Delano	DOIID	362940	NAIC NPN	5938485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/4/1984		8/31/2027
Active	Resident	Agent	Casualty	8/15/2000		8/31/2027
Active	Resident	Agent	Property	8/15/2000		8/31/2027
Active	Resident	Agent	Life	6/4/1984		8/31/2027
Inactive	Resident	Agent	General Lines	1/13/1977	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	06/15/2025	08/31/2025	03/07/2025	03/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	9/24/2010
Inactive	AIG Assurance Company	300897	Agent - General Lines	2/15/1995	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	9/24/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/27/1999	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/27/1999	11/20/2007
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	11/20/2003	1/6/2006
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	11/20/2003	1/6/2006
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	5/4/1993	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/14/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/29/1992	10/15/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/29/1992	10/15/1998
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	5/30/2003	10/1/2004
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	2/24/1995	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/25/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/25/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/21/2005	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/21/2005	11/14/2021
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	6/25/2014	12/15/2014
Inactive	American Reliable Insurance Company	301889	Agent - Property	6/25/2014	12/15/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/13/2007	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/13/2007	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	8/18/2006	10/20/2011
Inactive	American States Insurance Company	301230	Agent - Property	8/18/2006	10/20/2011
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	5/31/2006	10/11/2010
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/31/2006	10/11/2010
Active	Anthem Life Insurance Company	301209	Agent - Health	11/14/1998
Active	Anthem Life Insurance Company	301209	Agent - Life	11/14/1998
Inactive	Assurance Company of America	300432	Agent - Casualty	5/31/2006	10/11/2010
Inactive	Assurance Company of America	300432	Agent - Property	5/31/2006	10/11/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Health	3/4/1999	12/1/2000
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/4/1999	12/1/2000
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/15/2007
Active	Bristol West Insurance Company	301655	Agent - Property	1/15/2007
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/26/2011	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/26/2011	10/20/2011
Active	Dairyland Insurance Company	301370	Agent - Casualty	5/6/2011
Active	Dairyland Insurance Company	301370	Agent - Property	5/6/2011
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	4/24/1996	8/15/2000
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	8/28/2008	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	8/28/2008	8/22/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/18/2006	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	8/18/2006	10/20/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/14/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/14/2004
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/18/2006	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	8/18/2006	10/20/2011
Inactive	Generali - U.S. Branch	301128	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	8/30/1996	8/15/2000
Inactive	Generali - U.S. Branch	301128	Agent - Property	8/15/2000	3/31/2002
Inactive	Globe American Casualty Company	301033	Agent - Casualty	8/15/2000	10/16/2001
Inactive	Globe American Casualty Company	301033	Agent - General Lines	11/13/1991	8/15/2000
Inactive	Globe American Casualty Company	301033	Agent - Property	8/15/2000	10/16/2001
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/15/1986	9/24/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/15/1986	9/24/2017
Inactive	Granite State Insurance Company	300818	Agent - Casualty	8/15/2000	9/24/2010
Inactive	Granite State Insurance Company	300818	Agent - General Lines	6/23/2000	8/15/2000
Inactive	Granite State Insurance Company	300818	Agent - Property	8/15/2000	9/24/2010
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/19/2006	1/14/2015
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/19/2006	1/14/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000	9/9/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	1/13/1977	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000	9/9/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/12/2006	9/26/2011
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/12/2006	9/26/2011
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/23/2003	9/24/2010
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	2/3/1995	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/23/2003	9/24/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/26/2011	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	1/26/2011	2/3/2023
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	8/21/1996	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	8/15/2000	10/15/2004
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	1/5/1993	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	8/15/2000	10/15/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/9/2018	9/20/2024
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	6/24/1992	10/25/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	6/24/1992	10/25/2000
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/5/1995	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/5/1995	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/27/1999	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/27/1999	8/2/2002
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	2/21/2002	4/17/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	2/21/2002	4/17/2006
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	8/27/2021	6/14/2024
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	8/27/2021	6/14/2024
Inactive	Markel American Insurance Company	300377	Agent - Casualty	4/24/2003	12/12/2007
Inactive	Markel American Insurance Company	300377	Agent - Property	4/24/2003	12/12/2007
Inactive	Maryland Casualty Company	301719	Agent - Casualty	5/31/2006	10/11/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	5/31/2006	10/11/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Health	5/14/1991	4/14/2021
Active	Midland National Life Insurance Company	300923	Agent - Life	5/14/1991
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/28/1998	3/8/2004
Inactive	National Insurance Association	301386	Agent - Casualty	8/15/2000	2/11/2002
Inactive	National Insurance Association	301386	Agent - General Lines	10/26/1995	8/15/2000
Inactive	National Insurance Association	301386	Agent - Property	8/15/2000	2/11/2002
Inactive	National Summit Insurance Company	300348	Agent - General Lines	8/5/1996	12/14/1998
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/26/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/29/1996	9/21/2010
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/29/1996	9/21/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/26/2011	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/26/2011	10/20/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	5/31/2006	10/11/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	5/31/2006	10/11/2010
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	3/8/1999	4/16/2001
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/8/1999	4/16/2001
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	11/5/1997	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/26/2011	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	1/26/2011	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/26/2011	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	1/26/2011	10/20/2011
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	4/21/1999	9/28/2007
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	4/21/1999	9/28/2007
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	6/27/1996	3/31/2000
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	8/15/2000	11/1/2002
Inactive	QBE Insurance Corporation	300515	Agent - General Lines	12/8/1999	8/15/2000
Inactive	QBE Insurance Corporation	300515	Agent - Property	8/15/2000	11/1/2002
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/18/2006
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/18/2006
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/18/2006
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/18/2006
Inactive	Security Life Insurance Company of America	300936	Agent - Health	10/5/1990	3/31/1997
Inactive	Security Life Insurance Company of America	300936	Agent - Life	10/5/1990	3/31/1997
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	4/18/1998	6/7/2000
Inactive	Time Insurance Company	300683	Agent - Health	11/4/1998	10/17/2011
Inactive	Time Insurance Company	300683	Agent - Life	11/4/1998	10/17/2011
Active	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	10/23/2008
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	8/28/2008	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	8/28/2008	8/22/2012
Inactive	United American Insurance Company	300910	Agent - Health	6/4/1984	12/21/2006
Inactive	United American Insurance Company	300910	Agent - Life	6/4/1984	12/21/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Active	Western Surety Company	300283	Agent - Casualty	8/15/2000
Inactive	Western Surety Company	300283	Agent - General Lines	9/11/1979	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	8/21/1996	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997