DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Samantha R	DOIID	587177	NAIC NPN	8021125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	3/31/2021		8/31/2025
Inactive	Non Resident	Agent	Casualty	3/31/2004	8/31/2009
Inactive	Non Resident	Agent	Property	3/31/2004	8/31/2009
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/16/2008	8/31/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/16/2008	8/31/2009
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/6/2007	4/18/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	4/8/2021	1/22/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/6/2007	4/18/2008
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	4/24/2004	11/14/2007
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	4/8/2021	1/22/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/24/2004	11/14/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	4/6/2007	11/14/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	4/6/2007	11/14/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/24/2004	4/18/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/24/2004	4/18/2008
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	4/6/2007	11/14/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	4/6/2007	11/14/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	4/6/2007	11/14/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	4/6/2007	11/14/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	3/4/2008	4/8/2008
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	3/4/2008	4/8/2008