DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nale, Samantha Lynn	DOIID	988902	NAIC NPN	16013710

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/3/2018		10/31/2025
Active	Non Resident	Agent	Property	4/6/2018		10/31/2025
Withdrawn	Resident	Agent	Personal Lines
* 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	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	8/13/2018	5/22/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	8/13/2018	5/22/2019
Active	Erie Insurance Company	300230	Agent - Casualty	5/22/2019
Active	Erie Insurance Company	300230	Agent - Property	5/22/2019
Active	Erie Insurance Exchange	300789	Agent - Casualty	5/22/2019
Active	Erie Insurance Exchange	300789	Agent - Property	5/22/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/16/2022	5/22/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/16/2022	5/22/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/10/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/10/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2018	10/31/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2018	10/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fox Ins & Investments LLC	788818	Agent - Casualty	5/22/2019
Active	Fox Ins & Investments LLC	788818	Agent - Property	1/6/2021
Inactive	Kentucky Shield Inc	921642	Agent - Casualty	8/13/2018	5/15/2019
Inactive	Kentucky Shield Inc	921642	Agent - Property	8/13/2018	5/15/2019