DEPARTMENT OF INSURANCE
Affiliations
NameHanthaley, Sam DOIID857186NAIC NPN17400116
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/26/2025 3/31/2028
ActiveNon ResidentAgentHealth8/26/2025 3/31/2028
ActiveNon ResidentAgentCasualty8/26/2025 3/31/2028
ActiveNon ResidentAgentLife8/26/2025 3/31/2028
* 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
InactiveAetna Health Inc. (PA)660717Agent - Health3/7/20235/12/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health9/2/20255/7/2026
InactiveAetna Life Insurance Company301140Agent - Health9/2/20255/7/2026
InactiveDairyland Insurance Company301370Agent - Casualty11/17/20145/12/2025
InactiveDairyland Insurance Company301370Agent - Property11/17/20145/12/2025
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/19/20165/12/2025
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/19/20165/12/2025
ActiveIntegon General Insurance Corporation301186Agent - Casualty3/30/2026 
ActiveIntegon General Insurance Corporation301186Agent - Property3/30/2026 
ActiveIntegon Indemnity Corporation300674Agent - Casualty3/30/2026 
ActiveIntegon Indemnity Corporation300674Agent - Property3/30/2026 
ActiveNational General Insurance Company300152Agent - Casualty3/30/2026 
ActiveNational General Insurance Company300152Agent - Property3/30/2026 
ActiveNational Health Insurance Company300554Agent - Life3/30/2026 
InactiveNationwide Life and Benefits Insurance Company301045Agent - Life3/3/20235/12/2025
InactiveProgressive Casualty Insurance Company300696Agent - Casualty11/14/20145/12/2025
InactiveProgressive Casualty Insurance Company300696Agent - Property11/14/20145/12/2025
InactiveSilverScript Insurance Company663526Agent - Health9/2/20255/7/2026
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAffinity Brokerage, LLC544886Agent - Property12/24/20145/12/2025
InactiveAffinity Brokerage, LLC544886Agent - Casualty12/24/20145/12/2025
InactiveCWI, LLC662170Agent - Property1/6/20154/29/2024
InactiveCWI, LLC662170Agent - Casualty1/6/20154/29/2024
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Property1/6/20154/29/2024
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Casualty1/6/20154/29/2024
InactiveDirect General Insurance Agency Inc1018980Agent - Property9/18/20205/12/2025
InactiveDirect General Insurance Agency Inc1018980Agent - Casualty9/18/20205/12/2025
InactiveNational General Ins Marketing Inc621228Agent - Property10/21/20145/12/2025
InactiveNational General Ins Marketing Inc621228Agent - Casualty10/21/20145/12/2025

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