DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Samples, Brenda	DOIID	732973	NAIC NPN	7003602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/23/2010		2/28/2025
Active	Non Resident	Agent	Property	7/23/2010		2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bloomington Compensation Insurance Company	807534	Agent - Casualty	12/13/2021
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
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	Rural Community Insurance Company	301891	Agent - Casualty	4/28/2015	3/5/2016
Inactive	Rural Community Insurance Company	301891	Agent - Property	4/28/2015	3/5/2016
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty
Denied	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Property
Denied	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Casualty