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	Casualty	6/1/2007	1/31/2025
Active	Non Resident	Agent	Life	6/1/2007	1/31/2025
Active	Non Resident	Agent	Health	6/1/2007	1/31/2025
Active	Non Resident	Agent	Property	6/1/2007	1/31/2025
* 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	11/15/2024	01/31/2025

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
Pending	Brown & Brown Insurance Services Inc	637940	Agent - Health
Pending	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