DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Samuel A	DOIID	665433	NAIC NPN	2365803

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/4/2007	9/30/2017
Inactive	Non Resident	Agent	Casualty	10/4/2007	9/30/2017
* 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	Cincinnati Insurance Company	301298	Agent - Casualty	5/4/2015	9/30/2017
Inactive	Cincinnati Insurance Company	301298	Agent - Property	5/4/2015	9/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Edwards Church & Muse Inc	699574	Agent - Casualty	8/11/2009	9/30/2017
Inactive	Edwards Church & Muse Inc	699574	Agent - Property	8/11/2009	9/30/2017