DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Koehler, Samuel	DOIID	939464	NAIC NPN	18224329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	7/22/2022		6/30/2027
Inactive	Non Resident	Agent	Property	12/12/2016	6/30/2019
Inactive	Non Resident	Agent	Casualty	12/12/2016	6/30/2019
* 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	04/15/2025	06/30/2025	05/27/2025	05/27/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Personal Lines	12/31/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	12/16/2016	11/8/2018
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	7/26/2022
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	12/16/2016	11/8/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/16/2016	11/8/2018
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	7/26/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/16/2016	11/8/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Personal Lines	7/28/2022