DEPARTMENT OF INSURANCE
Affiliations
NameMyers, Samantha MarieDOIID860768NAIC NPN17420971
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty11/13/20147/31/2021 
InactiveNon ResidentAgentProperty11/13/20147/31/2021 
* 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
InactiveAmerican Family Home Insurance Company301817Agent - Casualty11/18/201411/11/2020
InactiveAmerican Family Home Insurance Company301817Agent - Property11/18/201411/11/2020
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty11/18/201411/11/2020
InactiveAmerican Modern Home Insurance Company300791Agent - Property11/18/201411/11/2020
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty8/8/201812/8/2020
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property8/8/201812/8/2020
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty11/18/201411/11/2020
InactiveAmerican Modern Select Insurance Company581481Agent - Property11/18/201411/11/2020
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty11/18/201411/11/2020
InactiveAmerican Southern Home Insurance Company626276Agent - Property11/18/201411/11/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAtlas Ins Agcy Inc523813Agent - Property11/18/201412/8/2020
InactiveAtlas Ins Agcy Inc523813Agent - Casualty11/18/201412/8/2020

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