DEPARTMENT OF INSURANCE
Affiliations
NameSamuels, Brenda PalmeaDOIID378160NAIC NPN240017
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/15/2000 9/30/2024
ActiveNon ResidentAgentCasualty8/15/2000 9/30/2024
InactiveNon ResidentAgentGeneral Lines6/23/19998/15/2000 
InactiveNon ResidentAgentHealth9/13/199312/2/1998 
InactiveNon ResidentAgentLife9/13/199312/2/1998 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
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

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