DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ackerman, Samuel M	DOIID	647982	NAIC NPN	2113908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/25/2007		12/31/2024
Active	Non Resident	Agent	Property	1/25/2007		12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/23/2007		12/31/2024
* 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	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Beazley Insurance Company, Inc.	300899	Agent - Casualty	4/21/2022
Active	Beazley Insurance Company, Inc.	300899	Agent - Property	4/21/2022
Inactive	Continental Casualty Company	301019	Agent - Casualty	3/6/2008	12/23/2011
Inactive	Continental Casualty Company	301019	Agent - Property	3/6/2008	12/23/2011
Inactive	Great American Insurance Company	301586	Agent - Casualty	3/9/2007	6/24/2015
Inactive	Great American Insurance Company	301586	Agent - Property	3/9/2007	6/24/2015
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	3/5/2012	12/14/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	3/5/2012	12/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Financial & Professional Risk Solutions, Inc.	396155	Agent - Property	3/31/2014
Active	Financial & Professional Risk Solutions, Inc.	396155	Agent - Casualty	3/31/2014
Active	Financial & Professional Risk Solutions, Inc.	396155	Surplus Lines Broker - Not Applicable	3/31/2014