DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	House, Samantha	DOIID	913342	NAIC NPN	17914582

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	3/6/2023		7/31/2026
* 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	05/15/2024	07/31/2024	05/17/2024	05/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	7/15/2019	10/12/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	4/28/2016	2/25/2019
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	7/15/2019	10/12/2020
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	7/15/2019	10/12/2020
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	7/15/2019	10/12/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	4/28/2016	2/25/2019