DEPARTMENT OF INSURANCE

Affiliations

Name	Hickey, Samantha Nicole	DOIID	987657	NAIC NPN	17723928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	4/11/2018	6/1/2023
Inactive	Resident	Agent	Casualty	4/11/2018	6/1/2023
* 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	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	5/1/2019	2/1/2020
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	1/20/2020	2/3/2020
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/20/2020	2/3/2020
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	5/14/2018	10/2/2018
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	5/14/2018	10/2/2018
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	5/14/2018	10/2/2018
Inactive	CSAA General Insurance Company	606675	Agent - Property	5/14/2018	10/2/2018
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	5/1/2019	2/1/2020
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	5/1/2019	2/1/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/8/2019	2/7/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/8/2019	2/7/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	6/6/2019	2/7/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Property	6/6/2019	2/7/2020
Inactive	Owners Insurance Company	300796	Agent - Casualty	1/20/2020	2/3/2020
Inactive	Owners Insurance Company	300796	Agent - Property	1/20/2020	2/3/2020
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/21/2019	5/14/2020
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/21/2019	5/14/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/16/2018	5/14/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	4/16/2018	5/14/2020
Inactive	Westfield Insurance Company	301950	Agent - Casualty	9/9/2019	11/17/2020
Inactive	Westfield Insurance Company	301950	Agent - Property	9/9/2019	11/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Casualty	4/16/2018	9/28/2018
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Property	4/16/2018	9/28/2018
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	1/22/2020	11/17/2020
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	1/22/2020	11/17/2020
Denied	Al Torstrick Insurance Agency, LLC	400026	Agent - Casualty
Denied	Al Torstrick Insurance Agency, LLC	400026	Agent - Property
Inactive	CBIA	527160	Agent - Casualty	11/16/2018	2/26/2019
Inactive	CBIA	527160	Agent - Property	11/16/2018	2/26/2019