DEPARTMENT OF INSURANCE

Affiliations

Name	Samuels, Madison Elizabeth	DOIID	1448658	NAIC NPN	22133135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	4/8/2026	5/31/2027
Active	Resident	Agent	Property	4/8/2026	5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/26/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/26/2026
Active	GEICO Advantage Insurance Company	774465	Agent - Casualty	4/16/2026
Active	GEICO Choice Insurance Company	774509	Agent - Casualty	4/16/2026
Active	GEICO General Insurance Company	301684	Agent - Casualty	4/15/2026
Active	GEICO General Insurance Company	301684	Agent - Property	4/15/2026
Active	GEICO Indemnity Company	301720	Agent - Casualty	4/15/2026
Active	GEICO Indemnity Company	301720	Agent - Property	4/15/2026
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	4/16/2026
Active	GEICO Marine Insurance Company	590512	Agent - Property	4/16/2026
Active	GEICO Secure Insurance Company	774510	Agent - Casualty	4/16/2026
Active	Government Employees Insurance Company	300376	Agent - Casualty	4/16/2026
Active	Government Employees Insurance Company	300376	Agent - Property	4/16/2026
Active	Homesite Insurance Company	301139	Agent - Casualty	5/13/2026
Active	Homesite Insurance Company	301139	Agent - Property	5/13/2026
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	5/13/2026
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	5/13/2026
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	5/12/2026
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	5/12/2026
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/23/2026
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/23/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Worley Insurance Services, LLC	966605	Agent - Casualty	4/15/2026
Active	Worley Insurance Services, LLC	966605	Agent - Property	4/15/2026