DEPARTMENT OF INSURANCE

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	Casualty	10/20/2014		3/31/2026
Active	Non Resident	Agent	Life	3/2/2023		3/31/2026
Active	Non Resident	Agent	Health	3/2/2023		3/31/2026
Active	Non Resident	Agent	Property	10/20/2014		3/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/7/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/7/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	3/7/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	11/17/2014
Active	Dairyland Insurance Company	301370	Agent - Property	11/17/2014
Active	Direct General Life Insurance Company	301045	Agent - Life	3/3/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/19/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/19/2016
Active	National General Insurance Company	300152	Agent - Casualty	10/21/2014
Active	National General Insurance Company	300152	Agent - Property	10/21/2014
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/14/2014
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/14/2014
Active	SilverScript Insurance Company	663526	Agent - Health	3/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Property	12/24/2014
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	12/24/2014
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
Active	Direct General Insurance Agency Inc	1018980	Agent - Property	9/18/2020
Active	Direct General Insurance Agency Inc	1018980	Agent - Casualty	9/18/2020
Active	National General Ins Marketing Inc	621228	Agent - Property	10/21/2014
Active	National General Ins Marketing Inc	621228	Agent - Casualty	10/21/2014