DEPARTMENT OF INSURANCE
Affiliations
NameNale, Samantha LynnDOIID988902NAIC NPN16013710
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty4/6/2018 10/31/2025
ActiveNon ResidentAgentCasualty4/3/2018 10/31/2025
WithdrawnResidentAgentPersonal Lines   
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Casualty8/13/20185/22/2019
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Property8/13/20185/22/2019
ActiveErie Insurance Company300230Agent - Casualty5/22/2019 
ActiveErie Insurance Company300230Agent - Property5/22/2019 
ActiveErie Insurance Company of New York789916Agent - Casualty3/24/2025 
ActiveErie Insurance Company of New York789916Agent - Property3/24/2025 
ActiveErie Insurance Exchange300789Agent - Casualty5/22/2019 
ActiveErie Insurance Exchange300789Agent - Property5/22/2019 
ActiveErie Insurance Property & Casualty Company789942Agent - Casualty3/24/2025 
ActiveErie Insurance Property & Casualty Company789942Agent - Property3/24/2025 
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty3/16/20225/22/2024
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property3/16/20225/22/2024
ActiveFlagship City Insurance Company789965Agent - Casualty3/24/2025 
ActiveFlagship City Insurance Company789965Agent - Property3/24/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/10/2019 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/10/2019 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty8/15/201810/31/2019
InactiveState Automobile Mutual Insurance Company301824Agent - Property8/15/201810/31/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFox Ins & Investments LLC788818Agent - Casualty5/22/2019 
ActiveFox Ins & Investments LLC788818Agent - Property1/6/2021 
InactiveKentucky Shield Inc921642Agent - Casualty8/13/20185/15/2019
InactiveKentucky Shield Inc921642Agent - Property8/13/20185/15/2019

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