DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Polin, Samantha Christian	DOIID	902045	NAIC NPN	17805803

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	3/12/2025		1/31/2027
Denied	Resident	Agent	Property
Inactive	Resident	Apprentice Adjuster	Not Applicable	12/17/2015	1/15/2016
Inactive	Resident	Staff Adjuster	Property & Casualty	1/15/2016	1/31/2019
* 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	11/15/2026	01/31/2027

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Staff Adjuster - Property & Casualty	1/21/2016	10/2/2017

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Perdue, Karen Sue	375666	Apprentice Adjuster - Not Applicable	12/17/2015	1/15/2016