PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameSam, Timothy DOIID1295921NAIC NPN19486714
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty9/1/2023 3/31/2026
ActiveNon ResidentAgentProperty9/1/2023 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Casualty12/30/2024 
ActiveBristol West Insurance Company301655Agent - Property12/30/2024 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty4/8/2024 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property4/8/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty4/8/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property4/8/2024 
InactiveLiberty Mutual Personal Insurance Company959584Agent - Casualty10/20/202310/31/2023
InactiveLiberty Mutual Personal Insurance Company959584Agent - Property10/20/202310/31/2023
InactiveState Farm Fire and Casualty Company301809Agent - Casualty3/5/20244/12/2024
InactiveState Farm Fire and Casualty Company301809Agent - Property3/5/20244/12/2024
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Casualty3/5/20244/12/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFx Insurance Agency, LLC646184Agent - Casualty4/15/2024 
ActiveFx Insurance Agency, LLC646184Agent - Property4/15/2024 

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