DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sample, Ryan J	DOIID	625508	NAIC NPN	235745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/8/2006	5/31/2011
Inactive	Non Resident	Agent	Casualty	2/8/2006	5/31/2011
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ProAssurance Casualty Company	300928	Agent - Casualty	6/27/2006	5/31/2011
Inactive	ProAssurance Casualty Company	300928	Agent - Property	3/28/2007	5/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	4/30/2007	1/18/2010
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	4/30/2007	1/18/2010