DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sherrill, Samantha Kalece	DOIID	1271243	NAIC NPN	19875144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/27/2023		6/30/2025
Active	Non Resident	Agent	Property	4/27/2023		6/30/2025
Active	Non Resident	Agent	Health	4/27/2023		6/30/2025
Active	Non Resident	Agent	Life	4/27/2023		6/30/2025
* 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
Agent	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/19/2023	11/30/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/19/2023	11/30/2023
Inactive	National General Insurance Company	300152	Agent - Casualty	4/28/2023	10/25/2023
Inactive	National General Insurance Company	300152	Agent - Property	4/28/2023	10/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	5/1/2023	11/16/2023
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	5/1/2023	11/16/2023
Inactive	CWI, LLC	662170	Agent - Casualty	5/1/2023	11/16/2023
Inactive	CWI, LLC	662170	Agent - Property	5/1/2023	11/16/2023
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	5/1/2023	11/16/2023
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	5/1/2023	11/16/2023
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	5/1/2023	11/16/2023
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	5/1/2023	11/16/2023
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	5/1/2023	11/16/2023
Inactive	National General Ins Marketing Inc	621228	Agent - Property	5/1/2023	11/16/2023