DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Peggy H	DOIID	387288	NAIC NPN	7207802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		6/30/2026
Active	Resident	Agent	Health	11/30/2000		6/30/2026
Active	Resident	Agent	Life	5/3/1995		6/30/2026
Active	Resident	Agent	Casualty	8/15/2000		6/30/2026
Inactive	Resident	Agent	General Lines	10/4/1994	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	04/15/2024	06/30/2024	05/29/2024	05/29/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Pet Insurance Company, Inc.	301240	Agent - Casualty	11/30/2020
Active	American Pet Insurance Company, Inc.	301240	Agent - Property	11/30/2020
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	10/4/1994	8/15/2000
Active	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	11/17/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	10/4/1994	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	11/17/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	5/3/1995
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	10/4/1994	8/15/2000
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/30/2000
Inactive	Time Insurance Company	300683	Agent - Health	3/11/2003	6/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Life	5/6/2005	5/1/2013
Inactive	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Health	5/6/2005	5/1/2013
Inactive	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Property	5/6/2005	5/1/2013
Inactive	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Casualty	5/6/2005	5/1/2013