DEPARTMENT OF INSURANCE
Affiliations
NamePickens, Samuel BDOIID762342NAIC NPN10008762
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth11/7/2022 9/30/2026
ActiveNon ResidentAgentLife11/7/2022 9/30/2026
ActiveNon ResidentAgentCasualty11/2/2020 9/30/2026
ActiveNon ResidentAgentProperty11/2/2020 9/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life1/18/2024 
InactiveAllstate Indemnity Company300778Agent - Casualty7/14/20211/24/2024
InactiveAllstate Indemnity Company300778Agent - Property7/14/20211/24/2024
InactiveAllstate Insurance Company300773Agent - Casualty7/14/20211/24/2024
InactiveAllstate Insurance Company300773Agent - Property7/14/20211/24/2024
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty7/14/20211/24/2024
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property7/14/20211/24/2024
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty7/14/20211/24/2024
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Property7/14/20211/24/2024
ActiveAmerican Economy Insurance Company300315Agent - Casualty2/9/2022 
ActiveAmerican Economy Insurance Company300315Agent - Property2/9/2022 
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty3/25/20218/13/2024
InactiveAmerican Modern Home Insurance Company300791Agent - Property3/25/20218/13/2024
InactiveAmerican Strategic Insurance Corp883540Agent - Casualty3/27/202111/19/2024
InactiveAmerican Strategic Insurance Corp883540Agent - Property3/27/202111/19/2024
ActiveAmica Life Insurance Company301676Agent - Life9/11/2023 
ActiveAssurity Life Insurance Company301099Agent - Health11/10/2024 
ActiveAssurity Life Insurance Company301099Agent - Life11/10/2024 
InactiveCMFG Life Insurance Company300929Agent - Health8/23/20234/17/2025
InactiveCMFG Life Insurance Company300929Agent - Life8/23/20234/17/2025
InactiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty11/10/20222/22/2024
InactiveCSAA Fire & Casualty Insurance Company606666Agent - Property11/10/20222/22/2024
InactiveCSAA General Insurance Company606675Agent - Casualty11/10/20222/22/2024
InactiveCSAA General Insurance Company606675Agent - Property11/10/20222/22/2024
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life1/18/2024 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/11/202412/4/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/11/202412/4/2024
InactiveLiberty Mutual Personal Insurance Company959584Agent - Casualty11/24/20204/2/2021
InactiveLiberty Mutual Personal Insurance Company959584Agent - Property11/24/20204/2/2021
InactiveMilbank Insurance Company925185Agent - Casualty3/16/20222/15/2024
InactiveMilbank Insurance Company925185Agent - Property3/16/20222/15/2024
InactiveNationwide Life Insurance Company300495Agent - Life8/30/20139/30/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life8/30/201310/29/2013
InactiveNationwide Mutual Insurance Company301749Agent - Casualty9/14/20118/19/2013
InactiveNationwide Mutual Insurance Company301749Agent - Property9/14/20118/19/2013
InactiveProgressive Casualty Insurance Company300696Agent - Casualty5/1/20128/19/2013
InactiveProgressive Casualty Insurance Company300696Agent - Property5/1/20128/19/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCovered Insurance Solutions LLC1000228Agent - Property6/24/2025 
ActiveCovered Insurance Solutions LLC1000228Agent - Casualty6/24/2025 
InactiveElite Insurance Group, Inc1068895Agent - Property6/4/202411/8/2024
InactiveElite Insurance Group, Inc1068895Agent - Casualty6/4/202411/8/2024
InactiveMatic Insurance Services Inc.853271Agent - Life2/27/20232/21/2024
InactiveMatic Insurance Services Inc.853271Agent - Property5/11/20212/21/2024
InactiveMatic Insurance Services Inc.853271Agent - Casualty5/11/20212/21/2024
InactiveMatic Insurance Services Inc.853271Agent - Health11/11/20222/21/2024
DeniedNationwide Sales Solutions Inc631821Agent - Life  
InactiveNationwide Sales Solutions Inc631821Agent - Property10/11/20118/14/2013
InactiveNationwide Sales Solutions Inc631821Agent - Casualty10/11/20118/14/2013

© Commonwealth of Kentucky. All rights reserved.