DEPARTMENT OF INSURANCE

Affiliations

Name	Pickens, Samuel B	DOIID	762342	NAIC NPN	10008762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/2/2020	9/30/2024
Active	Non Resident	Agent	Life	11/7/2022	9/30/2024
Active	Non Resident	Agent	Property	11/2/2020	9/30/2024
Active	Non Resident	Agent	Health	11/7/2022	9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	1/18/2024
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	7/14/2021	1/24/2024
Inactive	Allstate Indemnity Company	300778	Agent - Property	7/14/2021	1/24/2024
Inactive	Allstate Insurance Company	300773	Agent - Casualty	7/14/2021	1/24/2024
Inactive	Allstate Insurance Company	300773	Agent - Property	7/14/2021	1/24/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	7/14/2021	1/24/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	7/14/2021	1/24/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	7/14/2021	1/24/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	7/14/2021	1/24/2024
Active	American Economy Insurance Company	300315	Agent - Casualty	2/9/2022
Active	American Economy Insurance Company	300315	Agent - Property	2/9/2022
Active	American Modern Home Insurance Company	300791	Agent - Casualty	3/25/2021
Active	American Modern Home Insurance Company	300791	Agent - Property	3/25/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	3/27/2021
Active	American Strategic Insurance Corp	883540	Agent - Property	3/27/2021
Active	Amica Life Insurance Company	301676	Agent - Life	9/11/2023
Active	CMFG Life Insurance Company	300929	Agent - Health	8/23/2023
Active	CMFG Life Insurance Company	300929	Agent - Life	8/23/2023
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	11/10/2022	2/22/2024
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	11/10/2022	2/22/2024
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	11/10/2022	2/22/2024
Inactive	CSAA General Insurance Company	606675	Agent - Property	11/10/2022	2/22/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/18/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/12/2024	4/11/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/12/2024	4/11/2024
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	11/24/2020	4/2/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	11/24/2020	4/2/2021
Inactive	Milbank Insurance Company	925185	Agent - Casualty	3/16/2022	2/15/2024
Inactive	Milbank Insurance Company	925185	Agent - Property	3/16/2022	2/15/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/30/2013	9/30/2014
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/30/2013	10/29/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	9/14/2011	8/19/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	9/14/2011	8/19/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/1/2012	8/19/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/1/2012	8/19/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Elite Insurance Group, Inc	1068895	Agent - Property	6/4/2024
Active	Elite Insurance Group, Inc	1068895	Agent - Casualty	6/4/2024
Inactive	Matic Insurance Services Inc.	853271	Agent - Life	2/27/2023	2/21/2024
Inactive	Matic Insurance Services Inc.	853271	Agent - Property	5/11/2021	2/21/2024
Inactive	Matic Insurance Services Inc.	853271	Agent - Casualty	5/11/2021	2/21/2024
Inactive	Matic Insurance Services Inc.	853271	Agent - Health	11/11/2022	2/21/2024
Denied	Nationwide Sales Solutions Inc	631821	Agent - Life
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	10/11/2011	8/14/2013
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	10/11/2011	8/14/2013