DEPARTMENT OF INSURANCE

Name	Glover, Samantha Ann	DOIID	599315	NAIC NPN	8322100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Adjuster	Independent	10/8/2008	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	12/2/2004	12/2/2005
Active	Non Resident	Independent Adjuster	Workers' Compensation	5/4/2021		7/31/2026	Kentucky
Inactive	Non Resident	Staff Adjuster	Workers' Compensation	7/1/2010	7/31/2020

*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
Independent Adjuster	05/15/2024	07/31/2024	07/15/2024	07/15/2024	Yes

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
Business / Home Office	Sedgwick 4245 Meridian PkwyAurora, IL 60504
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(800) 350-2072 Ext-33905