DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Palmer Jr, Samuel John	DOIID	392882	NAIC NPN	3584420

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/11/1994	7/1/2010
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	4/30/2013
* 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	Gab Robins North America Inc.	401147	Adjuster - Independent	5/11/1994	3/28/1996
Inactive	Hamilton Mutual Insurance Company	301111	Adjuster - Independent	3/28/1996	7/1/2010
Inactive	Hamilton Mutual Insurance Company	301111	Staff Adjuster - Property & Casualty	7/1/2010	4/30/2013