DEPARTMENT OF INSURANCE

Affiliations

Name	Milam, Samuel Edward	DOIID	938930	NAIC NPN	18226135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	12/20/2019	4/30/2025
Active	Resident	Agent	Property	12/20/2019	4/30/2025
Withdrawn	Resident	Agent	Health
* 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
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/1/2017	5/1/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/1/2017	5/1/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/6/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/6/2022
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	3/6/2017	8/18/2017
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	3/6/2017	8/18/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/9/2017	6/16/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/9/2017	6/16/2017
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	6/20/2017	11/15/2017
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	6/20/2017	11/15/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/10/2017	9/29/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/10/2017	9/29/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/9/2017	6/16/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/9/2017	6/16/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/13/2017	7/18/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/13/2017	7/18/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/13/2017	7/18/2017
Inactive	Grange Insurance Company	300234	Agent - Property	2/13/2017	7/18/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/13/2017	7/18/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/13/2017	7/18/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/13/2017	5/1/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/13/2017	5/1/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/13/2017	5/1/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/13/2017	5/1/2019
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/13/2017	7/18/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/13/2017	7/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jen Jewell Insurance Agency, LLC	823292	Agent - Casualty	1/16/2017	6/22/2017
Inactive	Jen Jewell Insurance Agency, LLC	823292	Agent - Property	1/16/2017	6/22/2017