DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lamy, Samuel John	DOIID	785128	NAIC NPN	16695370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/2/2019		8/31/2025
Active	Non Resident	Agent	Life	9/2/2019		8/31/2025
Inactive	Non Resident	Agent	Personal Lines	6/29/2012	9/24/2019
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	11/30/2018	9/24/2019
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Personal Lines	7/4/2012	10/14/2016
Active	Freedom Life Insurance Company of America	300074	Agent - Health	10/7/2019
Active	Freedom Life Insurance Company of America	300074	Agent - Life	10/7/2019
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	7/4/2012	8/1/2019
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	7/4/2012	10/14/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	7/4/2012	8/1/2019
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Personal Lines	7/4/2012	10/14/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	4/22/2017	8/1/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	2/25/2019	9/24/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ushealth Advisors Llc	713288	Agent - Life	8/7/2023
Active	Ushealth Advisors Llc	713288	Agent - Health	8/7/2023