DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Casualty	6/13/2007		3/31/2027
Active	Resident	Agent	Life	6/13/2007		3/31/2027
Active	Resident	Agent	Health	6/13/2007		3/31/2027
Active	Resident	Agent	Property	6/13/2007		3/31/2027
* 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	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