DEPARTMENT OF INSURANCE

Affiliations

Name	Sams, Ronald Glenn	DOIID	369919	NAIC NPN	7200135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/12/2010	2/24/2012
Inactive	Resident	Agent	General Lines	12/22/1998	8/15/2000
Inactive	Resident	Agent	Health	6/25/1998	2/24/2012
Inactive	Resident	Agent	Property	8/15/2000	2/24/2012
Inactive	Resident	Agent	Casualty	8/15/2000	2/24/2012
Inactive	Resident	Solicitor	General Lines	10/8/1996	12/22/1998
* 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
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	2/4/2010	3/20/2012
Inactive	Aegis Security Insurance Company	300492	Agent - Property	2/4/2010	3/20/2012
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	1/14/2002	10/30/2008
Inactive	AmTrust Insurance Company	300179	Agent - Property	1/14/2002	10/30/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	8/17/2005
Inactive	American Economy Insurance Company	300315	Agent - General Lines	3/21/2000	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	8/17/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/28/2008	7/29/2009
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/26/2005	4/25/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/26/2005	4/25/2012
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	8/17/2005
Inactive	American States Insurance Company	301230	Agent - General Lines	3/21/2000	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	8/17/2005
Inactive	American States Life Insurance Company	301884	Agent - Health	6/25/1998	11/19/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	6/25/1998	11/26/2001
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/5/2001	10/7/2005
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/5/2001	10/7/2005
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/5/2001	3/28/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/5/2001	3/28/2012
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	4/25/2012
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	4/25/2012
Inactive	Continental Casualty Company	301019	Agent - Health	11/19/2001	12/19/2002
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/8/2008	12/4/2008
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/8/2008	12/4/2008
Inactive	FCCI Insurance Company	557454	Agent - Casualty	11/15/2004	12/22/2005
Inactive	FCCI Insurance Company	557454	Agent - Property	11/15/2004	12/22/2005
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/7/2005	2/24/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/7/2005	2/24/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	4/25/2012
Inactive	First National Insurance Company of America	301690	Agent - General Lines	3/21/2000	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	4/25/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/19/2003	2/24/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/19/2003	2/24/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	4/25/2012
Inactive	General Insurance Company of America	300261	Agent - General Lines	3/21/2000	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	4/25/2012
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Casualty	11/19/2001	11/1/2002
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Property	11/19/2001	11/1/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/22/2006	4/22/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/22/2006	4/22/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/22/2006	4/22/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/22/2006	4/22/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/22/2006	4/22/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/22/2006	4/22/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/22/2006	4/22/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/22/2006	4/22/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/22/2006	4/22/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/22/2006	4/22/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	4/25/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	4/25/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/27/2001	2/24/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/27/2001	2/24/2012
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	12/31/1999	3/31/2001
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	11/15/2004	12/22/2005
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	11/15/2004	12/22/2005
Inactive	National Trust Insurance Company	300367	Agent - Casualty	11/15/2004	12/22/2005
Inactive	National Trust Insurance Company	300367	Agent - Property	11/15/2004	12/22/2005
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	5/17/2010	12/15/2011
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	5/17/2010	12/15/2011
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	6/23/2008	12/15/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	6/23/2008	12/15/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Property	6/23/2008	12/15/2011
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	12/15/2011
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	12/15/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	6/23/2008	12/15/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/12/2010	12/15/2011
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/12/2010	12/15/2011
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	6/23/2008	12/15/2011
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	6/23/2008	12/15/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/23/2008	12/15/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	6/23/2008	12/5/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	6/23/2008	12/15/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	6/23/2008	12/15/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	4/25/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	4/25/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/26/2005	4/25/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/26/2005	4/25/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/26/2005	4/25/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/26/2005	4/25/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	4/25/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	4/25/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	4/25/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	4/25/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	4/25/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	3/21/2000	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	4/25/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	4/25/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	3/21/2000	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	4/25/2012
Inactive	Security National Insurance Company	301151	Agent - Casualty	1/14/2002	10/30/2008
Inactive	Security National Insurance Company	301151	Agent - Property	1/14/2002	10/30/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/5/2001	10/7/2005
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/5/2001	10/7/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	11/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	11/26/2001
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/5/2001	3/28/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/5/2001	3/28/2012
Inactive	TravCo Insurance Company	301828	Agent - Casualty	1/5/2001	10/7/2005
Inactive	TravCo Insurance Company	301828	Agent - Property	1/5/2001	10/7/2005
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	3/28/2012
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	3/28/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/18/2005	10/7/2005
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/18/2005	10/7/2005
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/5/2001	3/28/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/5/2001	3/28/2012
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	3/28/2012
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	3/28/2012
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	1/14/2002	6/9/2009
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	1/14/2002	6/9/2009
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	2/24/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	2/24/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/22/2006	4/22/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/22/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/22/2006	4/22/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	7/10/2008	12/15/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	7/10/2008	12/15/2011
Inactive	West American Insurance Company	301112	Agent - Casualty	8/26/2005	4/25/2012
Inactive	West American Insurance Company	301112	Agent - Property	8/26/2005	4/25/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Solutions Group Inc	400371	Agent - Life	9/17/2011	2/24/2012
Inactive	Ins Solutions Group Inc	400371	Agent - Health	11/4/2009	2/24/2012
Inactive	Ins Solutions Group Inc	400371	Agent - Property	12/19/2003	2/24/2012
Inactive	Ins Solutions Group Inc	400371	Agent - Casualty	12/19/2003	2/24/2012
Inactive	Medlink Inc	400721	Agent - Health	6/9/2009	12/2/2011
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	12/4/2001
Inactive	Worth Insurance Group INC	398245	Agent - Health	8/16/2002	12/19/2002
Inactive	Worth Insurance Group INC	398245	Agent - Property	8/16/2002	12/15/2003
Inactive	Worth Insurance Group INC	398245	Agent - Casualty	8/16/2002	12/15/2003