DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sam Westfall Agency Inc.	DOIID	657443	NAIC NPN	9376858

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/13/2007		3/31/2025
Active	Resident	Agent	Property	6/13/2007		3/31/2025
Active	Resident	Agent	Casualty	6/13/2007		3/31/2025
Active	Resident	Agent	Life	6/13/2007		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Shelter General Insurance Company	301109	Agent - Casualty	6/21/2007
Active	Shelter General Insurance Company	301109	Agent - Property	6/21/2007
Active	Shelter Life Insurance Company	300391	Agent - Health	6/21/2007
Active	Shelter Life Insurance Company	300391	Agent - Life	6/21/2007
Active	Shelter Mutual Insurance Company	301870	Agent - Casualty	6/21/2007
Active	Shelter Mutual Insurance Company	301870	Agent - Property	6/21/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Westfall, Sam M	302552	Agent - Casualty	6/13/2007
Active	Westfall, Sam M	302552	Agent - Health	6/13/2007
Active	Westfall, Sam M	302552	Agent - Life	6/13/2007
Active	Westfall, Sam M	302552	Agent - Property	6/13/2007