DEPARTMENT OF INSURANCE

Affiliations

Name	Cook III, Sam Lee	DOIID	656573	NAIC NPN	5928548

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/1/2007	1/31/2027
Active	Non Resident	Agent	Health	6/1/2007	1/31/2027
Active	Non Resident	Agent	Casualty	6/1/2007	1/31/2027
Active	Non Resident	Agent	Property	6/1/2007	1/31/2027
* 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	Arch Insurance Company	300688	Agent - Casualty	6/4/2009
Active	Arch Insurance Company	300688	Agent - Property	6/4/2009
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	11/15/2018
Active	Carolina Casualty Insurance Company	300271	Agent - Property	11/15/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	4/11/2022
Active	Employers Insurance Company of Wausau	301813	Agent - Property	4/11/2022
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	4/11/2022
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	4/11/2022
Active	Key Risk Insurance Company	630687	Agent - Casualty	10/11/2010
Active	Key Risk Insurance Company	630687	Agent - Property	10/11/2010
Active	LM Insurance Corporation	301061	Agent - Casualty	4/11/2022
Active	LM Insurance Corporation	301061	Agent - Property	4/11/2022
Active	Liberty Insurance Corporation	300444	Agent - Casualty	4/11/2022
Active	Liberty Insurance Corporation	300444	Agent - Property	4/11/2022
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	4/11/2022
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	4/11/2022
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Protective Insurance Company	301117	Agent - Casualty	4/4/2018	5/22/2019
Inactive	Protective Insurance Company	301117	Agent - Property	4/4/2018	5/22/2019
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	4/4/2018	5/22/2019
Inactive	Sagamore Insurance Company	300942	Agent - Property	4/4/2018	5/22/2019
Active	StarNet Insurance Company	502746	Agent - Casualty	10/11/2010
Active	StarNet Insurance Company	502746	Agent - Property	10/11/2010
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	The Phoenix Insurance Company	301502	Agent - Casualty	6/22/2011
Active	The Phoenix Insurance Company	301502	Agent - Property	6/22/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Brown & Brown Insurance Services Inc	637940	Agent - Casualty	3/21/2024
Denied	Brown & Brown Insurance Services Inc	637940	Agent - Health
Denied	Brown & Brown Insurance Services Inc	637940	Agent - Life
Active	Brown & Brown Insurance Services Inc	637940	Agent - Property	3/21/2024
Active	Brown & Brown of Tennessee Inc	534534	Agent - Casualty	5/30/2013
Denied	Brown & Brown of Tennessee Inc	534534	Agent - Health
Denied	Brown & Brown of Tennessee Inc	534534	Agent - Life
Active	Brown & Brown of Tennessee Inc	534534	Agent - Property	5/30/2013