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DEPARTMENT OF INSURANCE
Affiliations
Name
SAMMco, Inc
DOIID
633280
NAIC NPN
687328
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Property
9/6/2013
3/31/2023
Inactive
Non Resident
Agent
Casualty
12/4/2015
3/31/2023
* 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
Inactive
ACUITY, A Mutual Insurance Company
300095
Agent - Property
12/3/2015
3/14/2017
Inactive
American Modern Home Insurance Company
300791
Agent - Casualty
8/23/2021
12/19/2022
Inactive
American Modern Home Insurance Company
300791
Agent - Property
8/23/2021
12/19/2022
Inactive
Continental Insurance Company (The)
301242
Agent - Casualty
6/6/2017
12/11/2017
Inactive
Continental Insurance Company (The)
301242
Agent - Property
6/6/2017
12/11/2017
Inactive
Employers Compensation Insurance Company
797885
Agent - Casualty
8/6/2018
8/22/2022
Inactive
Liberty Mutual Insurance Company
301159
Agent - Property
3/16/2015
3/31/2023
Inactive
Valley Forge Insurance Company
301052
Agent - Casualty
11/28/2016
12/11/2017
Inactive
Valley Forge Insurance Company
301052
Agent - Property
11/28/2016
12/11/2017
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Mayer, Brett D
851693
Agent - Casualty
12/4/2015
3/31/2023
Inactive
Mayer, Brett D
851693
Agent - Property
11/11/2014
3/31/2023
Denied
Pearson, Jace D
633287
Agent - Casualty
Inactive
Wallace, Jennifer Lee
693187
Agent - Property
9/6/2013
8/31/2014
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