DEPARTMENT OF INSURANCE

Affiliations

Name	Samples, Brad W	DOIID	594622	NAIC NPN	3314006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/27/2004	7/31/2026
Active	Non Resident	Agent	Life	8/27/2004	7/31/2026
Active	Non Resident	Agent	Property	8/27/2004	7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AmGUARD Insurance Company	500010	Agent - Casualty	1/22/2019
Active	AmGUARD Insurance Company	500010	Agent - Property	1/22/2019
Active	American Economy Insurance Company	300315	Agent - Casualty	3/3/2023
Active	American Economy Insurance Company	300315	Agent - Property	3/3/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/8/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/8/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/25/2005	4/27/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/25/2005	4/27/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/1/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/1/2021
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	11/28/2005	3/30/2006
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	11/28/2005	3/30/2006
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	4/28/2011	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	4/28/2011	5/1/2012
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	11/28/2005	3/30/2006
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	11/28/2005	3/30/2006
Active	Milbank Insurance Company	925185	Agent - Casualty	3/11/2019
Active	Milbank Insurance Company	925185	Agent - Property	3/11/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	4/28/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	4/28/2014
Active	NorGUARD Insurance Company	500015	Agent - Casualty	1/22/2019
Active	Ohio Security Insurance Company	300622	Agent - Casualty	11/18/2017
Active	Ohio Security Insurance Company	300622	Agent - Property	11/18/2017
Inactive	Omni Indemnity Company	301456	Agent - Casualty	10/26/2005	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	10/26/2005	10/8/2009
Inactive	Omni Insurance Company	301545	Agent - Casualty	10/26/2005	10/27/2009
Inactive	Omni Insurance Company	301545	Agent - Property	10/26/2005	10/27/2009
Inactive	Owners Insurance Company	300796	Agent - Casualty	4/25/2005	4/27/2012
Inactive	Owners Insurance Company	300796	Agent - Property	4/25/2005	4/27/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/16/2019	12/21/2022
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	2/8/2022
Active	SAFECO Insurance Company of America	300159	Agent - Property	2/8/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/25/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/25/2024
Active	Selective Insurance Company of America	500018	Agent - Casualty	11/8/2022
Active	Selective Insurance Company of America	500018	Agent - Property	11/8/2022
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	11/8/2022
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	11/8/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	11/8/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	11/8/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/5/2011
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	10/5/2011
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	10/26/2005	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	10/26/2005	11/5/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Encore Ins Group LLC	735086	Agent - Casualty	9/21/2011
Denied	Encore Ins Group LLC	735086	Agent - Life
Active	Encore Ins Group LLC	735086	Agent - Property	9/21/2011
Inactive	Mainsource Ins LLC	612543	Agent - Casualty	9/26/2005	3/31/2017
Inactive	Mainsource Ins LLC	612543	Agent - Property	9/26/2005	3/31/2017
Active	Voldico LLC	735084	Agent - Casualty	3/4/2016
Active	Voldico LLC	735084	Agent - Property	3/4/2016