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DEPARTMENT OF INSURANCE
Affiliations
Name
Sample, Xavier
DOIID
911707
NAIC NPN
17893001
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Personal Lines
4/4/2016
11/30/2025
* 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
09/15/2025
11/30/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Government Employees Insurance Company
300376
Agent - Personal Lines
4/5/2016
1/14/2025
Inactive
Homesite Insurance Company
301139
Agent - Personal Lines
4/29/2016
4/8/2025
Inactive
Homesite Insurance Company of the Midwest
874850
Agent - Personal Lines
7/13/2017
4/8/2025
Inactive
Jewelers Mutual Insurance Company, SI
301935
Agent - Personal Lines
7/5/2017
1/14/2020
Inactive
LM Insurance Corporation
301061
Agent - Personal Lines
10/20/2016
2/17/2020
Inactive
Liberty Insurance Corporation
300444
Agent - Personal Lines
3/28/2017
2/17/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Geico Insurance Agency, LLC
558517
Agent - Personal Lines
4/5/2016
1/13/2025
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