DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lozada Baltazar, Samuel	DOIID	1287310	NAIC NPN	17120749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/24/2023		9/30/2026
Active	Non Resident	Agent	Casualty	7/24/2023		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/23/2023	10/26/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/23/2023	10/26/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/23/2023	10/26/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/23/2023	10/26/2023
Active	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	11/18/2025
Active	Independent Mutual Fire Insurance Company	300851	Agent - Property	11/18/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/5/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	12/5/2023
Active	Trexis Insurance Corporation	599902	Agent - Casualty	12/26/2023
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	12/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	SSB Ins Services LLC	747630	Agent - Casualty	4/24/2026
Active	SSB Ins Services LLC	747630	Agent - Property	4/24/2026