DEPARTMENT OF INSURANCE
Affiliations
NamePickens, Samuel BDOIID762342NAIC NPN10008762
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty11/2/2020 9/30/2026
ActiveNon ResidentAgentLife11/7/2022 9/30/2026
ActiveNon ResidentAgentProperty11/2/2020 9/30/2026
ActiveNon ResidentAgentHealth11/7/2022 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202609/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Life1/18/202410/16/2025
InactiveAllstate Indemnity Company300778Agent - Casualty7/8/20252/17/2026
InactiveAllstate Indemnity Company300778Agent - Property7/8/20252/17/2026
InactiveAllstate Insurance Company300773Agent - Casualty7/8/20252/17/2026
InactiveAllstate Insurance Company300773Agent - Property7/8/20252/17/2026
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty7/8/20252/17/2026
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property7/8/20252/17/2026
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty7/8/20252/17/2026
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Property7/8/20252/17/2026
InactiveAmerican Economy Insurance Company300315Agent - Casualty2/9/20222/4/2026
InactiveAmerican Economy Insurance Company300315Agent - Property2/9/20222/4/2026
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty3/25/20218/13/2024
InactiveAmerican Modern Home Insurance Company300791Agent - Property3/25/20218/13/2024
InactiveAmerican Strategic Insurance Corp883540Agent - Casualty3/27/202111/19/2024
InactiveAmerican Strategic Insurance Corp883540Agent - Property3/27/202111/19/2024
InactiveAmica Life Insurance Company301676Agent - Life9/11/20237/25/2025
InactiveAssurity Life Insurance Company301099Agent - Health11/10/202412/8/2025
InactiveAssurity Life Insurance Company301099Agent - Life11/10/202412/8/2025
InactiveBristol West Insurance Company301655Agent - Casualty8/21/20253/2/2026
InactiveBristol West Insurance Company301655Agent - Property8/21/20253/2/2026
InactiveCMFG Life Insurance Company300929Agent - Health8/23/20234/17/2025
InactiveCMFG Life Insurance Company300929Agent - Life8/23/20234/17/2025
InactiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty11/10/20222/22/2024
InactiveCSAA Fire & Casualty Insurance Company606666Agent - Property11/10/20222/22/2024
InactiveCSAA General Insurance Company606675Agent - Casualty11/10/20222/22/2024
InactiveCSAA General Insurance Company606675Agent - Property11/10/20222/22/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life1/18/202410/16/2025
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty8/21/20252/16/2026
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property8/21/20252/16/2026
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/21/20253/2/2026
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/21/20253/2/2026
InactiveGrange Indemnity Insurance Company300793Agent - Casualty8/27/20252/4/2026
InactiveGrange Indemnity Insurance Company300793Agent - Property8/27/20252/4/2026
InactiveGrange Insurance Company300234Agent - Casualty8/27/20252/4/2026
InactiveGrange Insurance Company300234Agent - Property8/27/20252/4/2026
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty8/27/20252/4/2026
InactiveGrange Property & Casualty Insurance Company601680Agent - Property8/27/20252/4/2026
InactiveLiberty Mutual Personal Insurance Company959584Agent - Casualty11/24/20204/2/2021
InactiveLiberty Mutual Personal Insurance Company959584Agent - Property11/24/20204/2/2021
InactiveMilbank Insurance Company925185Agent - Casualty3/16/20222/15/2024
InactiveMilbank Insurance Company925185Agent - Property3/16/20222/15/2024
InactiveNationwide Life Insurance Company300495Agent - Life8/30/20139/30/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life8/30/201310/29/2013
InactiveNationwide Mutual Insurance Company301749Agent - Casualty9/14/20118/19/2013
InactiveNationwide Mutual Insurance Company301749Agent - Property9/14/20118/19/2013
InactiveProgressive Casualty Insurance Company300696Agent - Casualty5/1/20128/19/2013
InactiveProgressive Casualty Insurance Company300696Agent - Property5/1/20128/19/2013
ActiveRoot Insurance Company964834Agent - Casualty2/26/2026 
ActiveRoot Insurance Company964834Agent - Property2/26/2026 
InactiveTrustgard Insurance Company300104Agent - Casualty8/27/20252/4/2026
InactiveTrustgard Insurance Company300104Agent - Property8/27/20252/4/2026
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCovered Insurance Solutions LLC1000228Agent - Property6/24/20251/29/2026
InactiveCovered Insurance Solutions LLC1000228Agent - Casualty6/24/20251/29/2026
InactiveElite Insurance Group, Inc1068895Agent - Property6/4/202411/8/2024
InactiveElite Insurance Group, Inc1068895Agent - Casualty6/4/202411/8/2024
InactiveMatic Insurance Services Inc.853271Agent - Life2/27/20232/21/2024
InactiveMatic Insurance Services Inc.853271Agent - Property5/11/20212/21/2024
InactiveMatic Insurance Services Inc.853271Agent - Casualty5/11/20212/21/2024
InactiveMatic Insurance Services Inc.853271Agent - Health11/11/20222/21/2024
DeniedNationwide Sales Solutions Inc631821Agent - Life  
InactiveNationwide Sales Solutions Inc631821Agent - Property10/11/20118/14/2013
InactiveNationwide Sales Solutions Inc631821Agent - Casualty10/11/20118/14/2013

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