DEPARTMENT OF INSURANCE
Affiliations
NameSamuels, Brenda PalmeaDOIID378160NAIC NPN240017
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty8/15/2000 9/30/2026
ActiveNon ResidentAgentProperty8/15/2000 9/30/2026
InactiveNon ResidentAgentLife9/13/199312/2/1998 
InactiveNon ResidentAgentHealth9/13/199312/2/1998 
InactiveNon ResidentAgentGeneral Lines6/23/19998/15/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive21st Century Centennial Insurance Company301840Agent - Casualty8/15/20002/3/2006
Inactive21st Century Centennial Insurance Company301840Agent - General Lines6/23/19998/15/2000
Inactive21st Century Centennial Insurance Company301840Agent - Property8/15/20002/3/2006
Inactive21st Century North America Insurance Company300884Agent - Casualty10/3/20032/8/2017
Inactive21st Century North America Insurance Company300884Agent - Property10/3/20032/8/2017
Inactive21st Century Premier Insurance Company301925Agent - Casualty8/15/20002/3/2006
Inactive21st Century Premier Insurance Company301925Agent - General Lines6/23/19998/15/2000
Inactive21st Century Premier Insurance Company301925Agent - Property8/15/20002/3/2006
InactiveAIG Property Casualty Company300621Agent - Casualty2/3/20069/16/2009
InactiveAIG Property Casualty Company300621Agent - Property2/3/20069/16/2009
InactiveAmerican Home Assurance Company300246Agent - Casualty6/8/20069/16/2009
InactiveAmerican Home Assurance Company300246Agent - Property6/8/20069/16/2009
InactiveAudubon Insurance Company301767Agent - Casualty2/3/20069/16/2009
InactiveAudubon Insurance Company301767Agent - Property2/3/20069/16/2009
ActiveBristol West Insurance Company301655Agent - Casualty2/6/2016 
ActiveBristol West Insurance Company301655Agent - Property2/6/2016 
ActiveFarmers Insurance Exchange300336Agent - Casualty6/12/2020 
ActiveFarmers Insurance Exchange300336Agent - Property6/12/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/20/2016 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/20/2016 
ActiveForemost Property and Casualty Insurance Company300871Agent - Casualty3/15/2022 
ActiveForemost Property and Casualty Insurance Company300871Agent - Property3/15/2022 
InactiveNational Union Fire Insurance Company of Louisiana301132Agent - Casualty6/8/20069/16/2009
InactiveNational Union Fire Insurance Company of Louisiana301132Agent - Property6/8/20069/16/2009
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty2/3/20066/8/2006
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property2/3/20066/8/2006
InactiveStonebridge Life Insurance Company301614Agent - Health9/13/199312/2/1998
InactiveStonebridge Life Insurance Company301614Agent - Life9/13/199312/2/1998
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Express Insurance Agency Inc.515334Agent - Property12/18/201712/31/2018
InactiveForemost Express Insurance Agency Inc.515334Agent - Casualty12/18/201712/31/2018
ActiveFx Insurance Agency, LLC646184Agent - Property12/5/2018 
ActiveFx Insurance Agency, LLC646184Agent - Casualty12/5/2018 
InactiveGE Capital Agency, Inc.524491Agent - Property6/8/20011/8/2004
InactiveGE Capital Agency, Inc.524491Agent - Casualty6/8/20011/8/2004

© Commonwealth of Kentucky. All rights reserved.