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DEPARTMENT OF INSURANCE
Affiliations
Name
Dalbey, Samantha Lou
DOIID
840264
NAIC NPN
17260689
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Casualty
5/9/2014
6/30/2025
Active
Non Resident
Agent
Life
5/9/2014
6/30/2025
Active
Non Resident
Agent
Property
5/9/2014
6/30/2025
Active
Non Resident
Agent
Health
5/9/2014
6/30/2025
* 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
Active
AmTrust Insurance Company
300179
Agent - Casualty
7/30/2014
Active
AmTrust Insurance Company
300179
Agent - Property
7/30/2014
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
7/13/2017
12/5/2018
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
7/13/2017
12/5/2018
Active
Hartford Underwriters Insurance Company
301064
Agent - Casualty
10/31/2022
Active
Hartford Underwriters Insurance Company
301064
Agent - Property
10/31/2022
Active
Milford Casualty Insurance Company
301460
Agent - Casualty
7/30/2014
Active
Milford Casualty Insurance Company
301460
Agent - Property
7/30/2014
Active
Park National Insurance Company
692514
Agent - Casualty
7/30/2014
Active
Park National Insurance Company
692514
Agent - Property
7/30/2014
Active
Security National Insurance Company
301151
Agent - Casualty
7/30/2014
Active
Security National Insurance Company
301151
Agent - Property
7/30/2014
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Casualty
8/11/2015
8/16/2017
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Property
8/11/2015
8/16/2017
Active
Technology Insurance Company
613278
Agent - Casualty
7/30/2014
Active
Technology Insurance Company
613278
Agent - Property
7/30/2014
Inactive
Twin City Fire Insurance Company
300721
Agent - Casualty
2/20/2018
12/23/2019
Inactive
Twin City Fire Insurance Company
300721
Agent - Property
2/20/2018
12/23/2019
Active
United States Fire Insurance Company
582240
Agent - Health
10/9/2017
Active
Wesco Insurance Company
300534
Agent - Casualty
7/30/2014
Active
Wesco Insurance Company
300534
Agent - Property
7/30/2014
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Sebrite Agcy Inc
526312
Agent - Health
Active
Sebrite Agcy Inc
526312
Agent - Property
7/30/2014
Active
Sebrite Agcy Inc
526312
Agent - Casualty
7/30/2014
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