DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hanthaley, Sam	DOIID	857186	NAIC NPN	17400116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/26/2025		3/31/2026
Active	Non Resident	Agent	Life	8/26/2025		3/31/2026
Active	Non Resident	Agent	Casualty	8/26/2025		3/31/2026
Active	Non Resident	Agent	Property	8/26/2025		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/7/2023	5/12/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/2/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	9/2/2025
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/17/2014	5/12/2025
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/17/2014	5/12/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/19/2016	5/12/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/19/2016	5/12/2025
Inactive	National General Insurance Company	300152	Agent - Casualty	10/21/2014	5/12/2025
Inactive	National General Insurance Company	300152	Agent - Property	10/21/2014	5/12/2025
Inactive	Nationwide Life and Benefits Insurance Company	301045	Agent - Life	3/3/2023	5/12/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/14/2014	5/12/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/14/2014	5/12/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/2/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	12/24/2014	5/12/2025
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	12/24/2014	5/12/2025
Inactive	CWI, LLC	662170	Agent - Property	1/6/2015	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	1/6/2015	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	1/6/2015	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	1/6/2015	4/29/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	9/18/2020	5/12/2025
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	9/18/2020	5/12/2025
Inactive	National General Ins Marketing Inc	621228	Agent - Property	10/21/2014	5/12/2025
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	10/21/2014	5/12/2025