DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Samantha	DOIID	768063	NAIC NPN	16451678

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	3/7/2012	6/1/2015
Inactive	Resident	Agent	Casualty	3/7/2012	6/1/2015
* 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
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	4/11/2012	10/22/2014
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	4/11/2012	10/22/2014
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	4/11/2012	10/22/2014
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	4/11/2012	10/22/2014
Inactive	Nationwide General Insurance Company	300603	Agent - Property	4/11/2012	10/22/2014
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/11/2012	10/22/2014
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/11/2012	10/22/2014
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	4/11/2012	10/22/2014
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	4/11/2012	10/22/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	4/11/2012	10/22/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	4/11/2012	10/22/2014
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	4/11/2012	10/22/2014
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	4/11/2012	10/22/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/11/2012	10/22/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/11/2012	10/22/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NBS Insurance Agency Inc	515576	Agent - Casualty	5/15/2014	10/22/2014
Inactive	NBS Insurance Agency Inc	515576	Agent - Property	5/15/2014	10/22/2014