DEPARTMENT OF INSURANCE

Name	Maggard, Samuel	DOIID	302328	NAIC NPN	7156730

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/9/1978	4/1/2018
Inactive	Resident	Agent	General Lines	2/9/1982	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2018
Inactive	Resident	Agent	Property	8/15/2000	4/1/2018
Inactive	Resident	Agent	Life	11/9/1978	4/1/2018

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	1219 N Main Street, Suite 2 Monticello, KY 42633

Phone Information

Type	Phone
Business / Home Office	(606) 340-0153