DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sampson Jr., John R	DOIID	391896	NAIC NPN	7209605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Independent Adjuster	Property & Casualty	3/22/1995		8/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aig Claims Inc	401148	Independent Adjuster - Property & Casualty	7/29/2010	5/31/2017
Active	Midwestern Ins Alliance L L C	777603	Independent Adjuster - Property & Casualty	7/19/2023
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	3/22/1995	1/23/1997