DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Olsen, Samuel Tucker	DOIID	937788	NAIC NPN	18193650

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/21/2016		4/30/2025
Active	Non Resident	Agent	Property	11/21/2016		4/30/2025
Active	Non Resident	Agent	Health	3/10/2023		4/30/2025
Active	Non Resident	Agent	Life	3/10/2023		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dairyland Insurance Company	301370	Agent - Casualty	12/6/2016
Active	Dairyland Insurance Company	301370	Agent - Property	12/6/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/21/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/21/2016
Active	Integon General Insurance Corporation	301186	Agent - Casualty	3/30/2024
Active	Integon General Insurance Corporation	301186	Agent - Property	3/30/2024
Active	National General Insurance Company	300152	Agent - Casualty	11/23/2016
Active	National General Insurance Company	300152	Agent - Property	11/23/2016
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/11/2022
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/11/2022

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	11/30/2016
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	11/30/2016
Inactive	CWI, LLC	662170	Agent - Property	10/28/2019	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	10/28/2019	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	11/30/2016	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	11/30/2016	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	11/30/2016
Active	National General Ins Marketing Inc	621228	Agent - Casualty	11/30/2016