DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Samuel	DOIID	583934	NAIC NPN	1353054

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/28/2006	11/30/2009
Inactive	Non Resident	Agent	Health	2/4/2004	11/30/2009
Inactive	Non Resident	Agent	Property	2/28/2006	11/30/2009
Inactive	Non Resident	Agent	Life	2/4/2004	11/30/2009
* 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
Denied	Marsh USA, Inc.	559537	Agent - Health
Denied	Marsh USA, Inc.	559537	Agent - Life